Michael Thomas Vincent, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Portland, Oregon. He went to University Of Arizona College Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice St Alphonsus Professional Medical Services Llc and his current practice location is
4805 Ne Glisan St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 215-1111.
Michael Thomas Vincent is licensed to practice in Idaho (license number 9161774) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699335331.
Physician's Profile
| Full Name | Michael Thomas Vincent |
|---|
| Gender | Male |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 4 Years |
|---|
| Location | 4805 Ne Glisan St, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Michael Thomas Vincent attended and graduated from University Of Arizona College Of Medicine in 2022
NPI Data:
- NPI Number: 1699335331
- Provider Enumeration Date: 06/14/2019
- Last Update Date: 02/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 2860869872
- Enrollment ID: I20241205003382
Medical Identifiers
Medical identifiers for Michael Thomas Vincent such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699335331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207LC0200X | Anesthesiology - Critical Care Medicine | 10023628 (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 9161774 (Idaho) | Primary |
| 163W00000X | Registered Nurse | RN170524 (Arizona) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Alphonsus Professional Medical Services Llc | 7214849751 | 106 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Thomas Vincent allows following entities to bill medicare on his behalf.
| Entity Name | St Alphonsus Professional Medical Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184 |
|---|
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 Thomas Vincent 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 Thomas Vincent, CRNA 4805 Ne Glisan St, Portland, OR 97213-2933 Ph: (503) 215-1111 | Michael Thomas Vincent, CRNA 4805 Ne Glisan St, Portland, OR 97213-2933 Ph: (503) 215-1111 |
Reviews and Comments