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, Anesthesia Associates Of Coeur D Alene Pllc 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 |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 4805 Ne Glisan St, Portland, Oregon |
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| 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 | 124 |
| Anesthesia Associates Of Coeur D Alene Pllc | 2365427838 | 59 |
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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184 |
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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 |
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