Michael Ingersoll, in Portland, OR - Medicare Certified Registered Nurse Anesthetist (crna)

Michael Ingersoll, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice University Of Utah Adult Services and his current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-8014.

Michael Ingersoll is licensed to practice in Wisconsin (license number 15311430) 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 1902125289.

Contact Information

	Michael Ingersoll,
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-8014
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael Ingersoll
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	3181 Sw Sam Jackson Park Rd, 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 Ingersoll graduated from nursing school in 2010

NPI Data:

NPI Number: 1902125289
Provider Enumeration Date: 05/25/2010
Last Update Date: 08/28/2022

Medicare PECOS Information:

PECOS PAC ID: 0648284281
Enrollment ID: I20220810001316

Medical Identifiers

Medical identifiers for Michael Ingersoll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902125289	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	15311430 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1459

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 Ingersoll allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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 Ingersoll 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 Ingersoll, 3302 56th Ave Unit 203, Kenosha, WI 53144-4908 Ph: () -	Michael Ingersoll, 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8014

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661
Dr. Dallas D. Regan, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641
Stephen John Yermal, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1111 Ne 99th Ave, Suite 302, Portland, OR 97220 Phone: 503-963-2763

Michael Ingersoll, - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, OR