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Vicki Lynn Duncan

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

14601 South Bascom Ave, #230, Los Gatos, CA 95032

PECOS Enrollment

This provider is enrolled in PECOS as VICKI DUNCAN.

Based on the most recent information from CMS, provider Vicki Lynn Duncan 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 2 days ago.

Profile Details

Provider ID
1235230798
Provider Type
Individual
Full Name
Duncan, Vicki Lynn
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/26/2006
Last Updated
7/8/2007

Contact Information

Practice Location

14601 South Bascom Ave, #230, Los Gatos, CA 95032

(408) 358-6566

Mailing Location

14601 South Bascom Ave, #230, Los Gatos, CA 95032

(408) 358-6566

(408) 358-6536

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License G46440 California

Provider Identifiers

ID	Description	Issuer
ID G46440	Description Other	Issuer BLUE CROSS California
ID G46440	Description Other	Issuer BLUE SHIELD California

Vicki Lynn Duncan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Martinez, Eleanor

Mayhew, Rosanne

Obgyn Womens Physicians Association Inc

Rosenberg, Gordon S

Johnson, Sarah A

Angela M. Pollard Md Inc.

Reimnitz, Charlene E

Pollard, Angela

Lam, Christina

Bolanos, Jose Raul