3910 WASHINGTON PARKWAY
IDAHO FALLS, ID 83404-7596 US PECOS Enrolled
Carl David Vance
Internal Medicine Physician (Endocrinology/Diabetes & Metabolism)
- IDAHO FALLS, ID
- Phone: (208)-523-1122
- Last Updated 10/15/2021
Overview
Carl David Vance is a Internal Medicine Physician (Endocrinology/Diabetes & Metabolism) in the IDAHO FALLS area and has over 28 years of experience. Carl David Vance primary office location is at 3910 WASHINGTON PARKWAY and new patients are welcome to contact this healthcare provider for an appointment. He attended Wake Forest University School Of Medicine and graduated 1996
Carl David Vance is affiliated with eight hospitals in the IDAHO FALLS area, including . The NPI number is 1437159423 and the information was updated approximately 3 years ago.
Carl David Vance is affiliated with one medical group in the IDAHO FALLS area, ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| M7763 | ID |
| Board Certifications |
|---|
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| BLUESHIELD OF IDAHO | 25853 | ID |
| DMBA | 32035 | ID |
| WYOMING CONSULTEC EDS | 120165400 | ID |
| RAILROAD MEDICARE | 110187174 | ID |
| MEDICAID | 805400000 | ID |
| BLUECROSS OF IDAHO | DZ643 | ID |
| HEALTHY CONNECTIONS | 804012300 | ID |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician (Endocrinology/Diabetes & Metabolism) - Taxonomy Code 207RE0101X | ID | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20100604000314 |
| PECOS Individual PAC ID: | 9133216369 |
| 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 |
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