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Victor Thomas Caceres

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1900 W Polk St, 10th Floor, Chicago, IL 60612-3723

PECOS Enrollment

This provider is enrolled in PECOS as VICTOR CACERES.

Based on the most recent information from CMS, provider Victor Thomas Caceres 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 3 days ago.

Profile Details

Provider ID
1316385875
Provider Type
Individual
Full Name
Caceres, Victor Thomas
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
6/6/2013
Last Updated
5/15/2023

Contact Information

Practice Location

1900 W Polk St, 10th Floor, Chicago, IL 60612-3723

(312) 091-1864

Unlisted Fax

Mailing Location

1900 W Polk St, 10th Floor, Chicago, IL 60612-3723

(920) 318-9552

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA60838852 Washington
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 1108842 Wisconsin

Victor Thomas Caceres

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Wu, Nancy

Grooms, Tejuana

El, Katherine

Cipolla, Patricia

Villaluna, Guia C.

Miller, Barbara June

Less, Diane Maria

Martinez, Salvador

Soriano, Alexandra

Kanumury, Ratna Priya