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

Michael Lopez, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Premier Anesthesia Of Oregon Pc and his current practice location is 1015 Nw 22nd Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 413-7711.

Michael Lopez is licensed to practice in Oregon (license number 201403004CRNA) 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 1124432976.

Contact Information

	Michael Lopez, CRNA
	1015 Nw 22nd Ave, Portland, OR 97210-3025
	(503) 413-7711
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael Lopez
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	1015 Nw 22nd Ave, 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 Lopez graduated from nursing school in 2014

NPI Data:

NPI Number: 1124432976
Provider Enumeration Date: 06/19/2014
Last Update Date: 06/19/2014

Medicare PECOS Information:

PECOS PAC ID: 4789802356
Enrollment ID: I20140822000908

Medical Identifiers

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

Identifier	Type	State	Issuer
1124432976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	201403004CRNA (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Newberg Medical Center	Newberg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Anesthesia Of Oregon Pc	2961857123	22

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 Lopez allows following entities to bill medicare on his behalf.

Entity Name	Willamette Valley Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790740520 PECOS PAC ID: 6103729314 Enrollment ID: O20040127000785

Entity Name	Anesthesia Associates Northwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459

Entity Name	Premier Anesthesia Of Oregon Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154010429 PECOS PAC ID: 2961857123 Enrollment ID: O20231009002794

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 Lopez 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 Lopez, CRNA 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 Ph: (865) 985-7053	Michael Lopez, CRNA 1015 Nw 22nd Ave, Portland, OR 97210-3025 Ph: (503) 413-7711

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 Lopez, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, OR