Michael Alan Bevilacqua, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Wilsonville, Oregon. His current practice location is
25030 Sw Parkway Ave Ste 200, Wilsonville, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 612-0498.
Michael Alan Bevilacqua is licensed to practice in Oregon (license number MD194533) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609210632.
Physician's Profile
| Full Name | Michael Alan Bevilacqua |
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| Gender | Male |
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| Speciality | Radiology - Vascular & Interventional Radiology |
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| Location | 25030 Sw Parkway Ave Ste 200, Wilsonville, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609210632
- Provider Enumeration Date: 04/22/2013
- Last Update Date: 05/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 2769621465
- Enrollment ID: I20191203002972
Medical Identifiers
Medical identifiers for Michael Alan Bevilacqua such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609210632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | MD0000053944 (Tennessee) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD0000053944 (Tennessee) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD194533 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Alan Bevilacqua is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michael Alan Bevilacqua, MD 25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070-9816 Ph: (503) 612-0498 | Michael Alan Bevilacqua, MD 25030 Sw Parkway Ave Ste 200, Wilsonville, OR 97070-9816 Ph: (503) 612-0498 |
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