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Michael Alexander Vanderslice

Anesthesiology

Allopathic & Osteopathic Physicians

3315 Watt Ave, Sacramento, CA 95821-3600

PECOS Enrollment

This provider is enrolled in PECOS as MICHAEL VANDERSLICE.

Based on the most recent information from CMS, provider Michael Alexander Vanderslice is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 4:18 PM.

Profile Details

Provider ID
1154942399
Provider Type
Individual
Full Name
Vanderslice, Michael Alexander
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/28/2020
Last Updated
8/23/2024

Contact Information

Practice Location

3315 Watt Ave, Sacramento, CA 95821-3600

(916) 481-6800

(916) 481-1881

Mailing Location

3315 Watt Ave, Sacramento, CA 95821-3600

(916) 481-6800

(916) 481-1881

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License A195868 California

Michael Alexander Vanderslice

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Devoe, Robert Patrick

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Swift, Robert Cameron

Juarez, Richard Eldon

Bodily, Dan W

Dutra, Vince Anthony

Cox, Gregory Mckay

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Scheller, James G