VIANCA BEDOYA DO, MPH
NPI 1306696307
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 25, 2024PECOS Enrolled

22101 MOROSS RD, DETROIT, MI 48236(313) 343-3400 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Vianca Bedoya Do, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIANCA BEDOYA DO, MPH (NPI 1306696307) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306696307

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameVIANCA BEDOYACredential: DO, MPH

Location Address22101 MOROSS RDDetroit, MI 48236-2148

Mailing Address22101 Moross Rd, Emergency DepartmentDetroit, MI 48236-2148

Phone(313) 343-3400

Sole ProprietorNo

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 24, 2024

✔ NPI 1306696307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

22101 MOROSS RD, Detroit, MI 48236

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vianca Bedoya Do, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.