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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20190109001029 resolves to a single NPI record. Open the full profile for complete detail.

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MV
NPI · 1427074780 · Active
Mark Vance D.O.
Surgery · Fort Myers, Florida
Active
NPI
1427074780
Enrollment ID
I20190109001029
Taxonomy
208600000X
Type
Practitioner - General Surgery

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 16587MI· Issued by MCARE
  • P00271698MI· Issued by PALMETTO GBA - RR MEDICAR
  • 139094MI· Issued by PREFERRED CHOICE
  • 382626202MI· Issued by CARE CHOICES
  • 5251032MI· Issued by BLUE CROSS
  • 7420565MI· Issued by AETNA
  • 0998650MI· Issued by HEALTH PLUS
  • 0998650MI· Issued by GENESEE HEALTH PLAN
  • 0N89830001MI· Issued by BLUE CROSS MEDICARE ADVAN
  • 1015760MI· Issued by MCLAREN HEALTH PLAN
  • 1427074780MI· Issued by HEALTH ALLIANCE PLAN
  • 5251032MI· Issued by BLUE CARE NETWORK

Medicaid

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.