Overview
No Referral Sources
No Referral Destinations
Practice Locations 3 Same Address Same Phone Medical Groups 1
No Affl. Hospitals
profile image
Primary Practice Address
10433 S REDWOOD RD STE B
SOUTH JORDAN, UT 84095-8502 US
Accepts Medicare Payment

PECOS Enrolled

Kyle Allan Vance

Physician Assistant


Overview

Kyle Allan Vance is a Physician Assistant in the SOUTH JORDAN area and has over 29 years of experience. Kyle Allan Vance primary office location is at 10433 S REDWOOD RD STE B and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1994 The NPI number is 1003469867 and the information was updated approximately 4 years ago.

Kyle Allan Vance is affiliated with one medical group in the SOUTH JORDAN area, AFTER HOURS MEDICAL LLC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
10433 S REDWOOD RD STE B
SOUTH JORDAN, UT 84095-8502 US
Phone: (801)-260-1919
Fax:
Practice Mailing Information
PO BOX 95590
SOUTH JORDAN, UT 84095-8502 US
Phone: (801)-352-9500
Fax: (801)-352-7976

Practice Location Addresses: 2

License NumberState
11353630-1206UT
Type/IssuerIdentifierState
STATE LICENSE11353630-1206UT

Quality Reporting:

Accepts Medicare Assignment: Yes

If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount.

Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No
Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No
Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No
Committed to heart health through the Million Hearts´┐Ż initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20190920001633
PECOS Individual PAC ID:1658601448
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes