Jonathan Vicencio, in Palm Coast, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Jonathan Vicencio, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Palm Coast, Florida. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Physician Solutions Of North Florida Llc and his current practice location is 88 Emerald Lake Dr, Palm Coast, Florida. You can reach out to his office (for appointments etc.) via phone at (631) 455-3034.

Jonathan Vicencio is licensed to practice in Florida (license number APRN11005783) 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 1790315307.

Contact Information

	Jonathan Vicencio,
	88 Emerald Lake Dr, Palm Coast, FL 32137-1311
	(631) 455-3034
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonathan Vicencio
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	88 Emerald Lake Dr, Palm Coast, Florida
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:

Jonathan Vicencio graduated from nursing school in 2019

NPI Data:

NPI Number: 1790315307
Provider Enumeration Date: 01/22/2020
Last Update Date: 01/22/2020

Medicare PECOS Information:

PECOS PAC ID: 6406277243
Enrollment ID: I20200602002256

Medical Identifiers

Medical identifiers for Jonathan Vicencio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790315307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APRN11005783 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Osceola Regional Medical Center	Kissimmee, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Physician Solutions Of North Florida Llc	5597066001	260

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. Jonathan Vicencio allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Physician Solutions Of North Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164932901 PECOS PAC ID: 5597066001 Enrollment ID: O20151228002033

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. Jonathan Vicencio 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
Jonathan Vicencio, 88 Emerald Lake Dr, Palm Coast, FL 32137-1311 Ph: () -	Jonathan Vicencio, 88 Emerald Lake Dr, Palm Coast, FL 32137-1311 Ph: (631) 455-3034

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Palm Coast, FL

David F. Alaniz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000
Kenneth Matthew Zino, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Elder Pl, Palm Coast, FL 32164 Phone: 478-972-4644 Fax: 478-972-4644
Thomas Lee Bode, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 27 Parkway Dr, Palm Coast, FL 32164 Phone: 606-209-3186
Michael S Awai, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 904-482-7548
William Chandler, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164 Phone: 386-586-2000

Jonathan Vicencio, - Medicare Certified Registered Nurse Anesthetist (crna) in Palm Coast, FL