Mr Aaron Vincent Vizcarra, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Maries, Idaho. His current practice location is
229 S 7th St, Saint Maries, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 245-5551.
Mr Aaron Vincent Vizcarra is licensed to practice in Idaho (license number 77187) 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 1306253893.
Provider's Profile
| Full Name | Mr Aaron Vincent Vizcarra |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 229 S 7th St, Saint Maries, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306253893
- Provider Enumeration Date: 07/16/2014
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254557200
- Enrollment ID: I20230915000628
Medical Identifiers
Medical identifiers for Mr Aaron Vincent Vizcarra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306253893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | AP60475875 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 77187 (Idaho) | Primary |
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. Mr Aaron Vincent Vizcarra allows following entities to bill medicare on his behalf.
| Entity Name | Benewah Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386632180
PECOS PAC ID: 1850200700
Enrollment ID: O20040927000265 |
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| Entity Name | Benewah Community Hospital |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1548320435
PECOS PAC ID: 1850200700
Enrollment ID: O20061104000136 |
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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. Mr Aaron Vincent Vizcarra 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 |
|---|
Mr Aaron Vincent Vizcarra, CRNA
229 S 7th St,
Saint Maries, ID 83861-1803
Ph: (208) 245-5551 | Mr Aaron Vincent Vizcarra, CRNA
229 S 7th St,
Saint Maries, ID 83861-1803
Ph: (208) 245-5551 |
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