| Terrell B Vanaken MD Inc | |
|
167 Bounty Ln Vacaville CA 95687-3120 | |
| (707) 694-2623 | |
| Not Available |
| Full Name | Terrell B Vanaken MD Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 167 Bounty Ln, Vacaville, California |
| Authorized Official Name and Position | Terrell B Vanaken (OWNER) |
| Authorized Official Contact | 7076942623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrell B Vanaken MD Inc 167 Bounty Ln Vacaville CA 95687-3120 Ph: (707) 694-2623 | Terrell B Vanaken MD Inc 167 Bounty Ln Vacaville CA 95687-3120 Ph: (707) 694-2623 |
| NPI Number | 1770271264 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 8820455447 |
|---|---|
| Medicare Enrollment ID | O20230613000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770271264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Terrell B Van Aken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306941430 PECOS PAC ID: 0244367969 Enrollment ID: I20100428000471 |
Community Medical Centers, Suite 210 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 Phone: 707-359-1800 |
Davita Renal Specialists of California Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 Burton Dr, Suite 160, Vacaville, CA 95687 Phone: 707-446-4379 Fax: 707-446-4417 |
Absolute Integrative Physical Medicine PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 Alamo Dr Ste B, Vacaville, CA 95687 Phone: 707-474-5688 Fax: 707-474-5658 |
C & a Medical Group Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3000 Alamo Dr Ste 102, Vacaville, CA 95687 Phone: 707-567-3288 |
Outpatient Wound Solutions, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Elmira Rd, Suite 165, Vacaville, CA 95687 Phone: 707-999-0242 |
Alpha Pregnancy Resource Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 S Orchard Ave, Vacaville, CA 95688 Phone: 707-449-8991 Fax: 707-469-6705 |