Brian D Vacca (NPI# 1417041526, PAC ID# 0143316612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1417041526 |
| PAC ID by PECOS | 0143316612 |
| Professional Enrollment ID | I20151209000259 |
| Full Name | Brian D Vacca |
| Organization Legal Name | NERVANA HEALTH SOLUTIONS LLC |
| Address |
10928 Eagle River Rd Eagle River AK 99577-8079 |
| Phone Number | 5633406179 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 3577841402 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020017 | ALASKA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10928 Eagle River Rd, Eagle River, AK 99577-8079 | 5633406179 | NERVANA HEALTH SOLUTIONS LLC |
| 10928 Eagle River Rd, Suite 104, Eagle River, AK 99577-8079 | 5633406179 | NERVANA HEALTH SOLUTIONS LLC |
| Organization Legal Name | NERVANA HEALTH SOLUTIONS LLC |
| Physicians | 1 |
| Street Address |
10928 EAGLE RIVER RD |
| City | EAGLE RIVER |
| State | AK |
| Zip | 99577-8079 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hal E Hagge | Optometry | 10928 Eagle River Rd, Suite 102, Eagle River, AK 99577-8078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Alaniz | Nurse Practitioner | Health Works Family Medical Clinic Inc | 12812 Old Glenn Hwy A7, Eagle River, AK 99577-7003 |
| Andrea M Trescot | Anesthesiology | Pain and Headache Center LLC | 12836 Old Glenn Hwy, Eagle River, AK 99577-7041 |
| Patricia L Mcdonald | Nurse Practitioner | Anchorage Women's Clinic At Providence LLC | 17101 Snowmobile Ln, Suite 201, Eagle River, AK 99577-7043 |
| Gerald E Manning Ii | Physician Assistant | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
| Jeffrey J Copeland | Family Medicine | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
| Adrian K Giani | Physician Assistant | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
| Carly Lynn Thomas | Physician Assistant | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
| Jeffrey M Weiss | Dermatology | 17025 Snowmobile Ln, Suite 102, Eagle River, AK 99577-7044 | |
| Sarah J Hennemann | Family Medicine | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
| Scott W Schafer | Physician Assistant | Capstone Family Medicine LLC | 17025 Snowmobile Ln, Eagle River, AK 99577-7044 |
| Find all physicians in zip 99577 | |||
| City | EAGLE RIVER |
| Zip Code | 99577 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | EAGLE RIVER + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Brian D Vacca.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.