Individual provider Active NPI

William P. Vercio, M.D.

  • Specialist
  • Tamuning, GU
National Provider Identifier
1962658922
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M-973 Issued in GU
Practice address
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone
(671) 646-5824
Fax
(671) 647-3546
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M-973 GU Primary

Addresses

Primary practice location

548 S Marine Corps Dr
Tamuning, GU 96913-3539

Mailing address

P.O. Box 6578
Tamuning, GU 96931-6578
Phone (671) 646-5824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810000135 GU Practitioner - Obstetrics/Gynecology 2769542893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

850 Gov Carlos Camacho Rd
Tamuning, GU 96913-3128

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-973GUMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince Jan 21, 2017 Accepting new patients
Guam Memorial Hospital CurrentSince Jun 24, 2015 Accepting new patients
Guam Memorial Hospital CurrentSince Jun 24, 2015 Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1962658922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6578",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969316578",
            "telephone_number": "671-646-5824",
            "fax_number": "671-647-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 S MARINE CORPS DR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133539",
            "telephone_number": "671-646-5824",
            "fax_number": "671-647-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCIO",
        "first_name": "WILLIAM",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GU",
            "license": "M-973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.