Mitchael Lee Vickers, CRNA - Medicare Nurse Anesthetist, Certified Registered in Roswell, GA

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Mitchael Lee Vickers, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roswell, Georgia. His current practice location is 2500 Hospital Blvd, Suite 480, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 762-0676.

Mitchael Lee Vickers is licensed to practice in Georgia (license number RN141647) 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 1437128857.

Contact Information

Mitchael Lee Vickers, CRNA
2500 Hospital Blvd, Suite 480,
Roswell, GA 30076-4975
(678) 762-0676
Not Available

Map and Direction




Provider's Profile

Full NameMitchael Lee Vickers
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2500 Hospital Blvd, Roswell, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437128857
  • Provider Enumeration Date: 03/16/2006
  • Last Update Date: 11/18/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3274576590
  • Enrollment ID: I20050608000191

Medical Identifiers

Medical identifiers for Mitchael Lee Vickers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437128857NPI-NPPES
P00232387OtherRR MEDICARE
000806242MMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN141647 (Georgia)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. Mitchael Lee Vickers allows following entities to bill medicare on his behalf.
Entity NameConcordia Anesthesiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619296464
PECOS PAC ID: 8325172885
Enrollment ID: O20100819000220
Entity NameOracle Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629350566
PECOS PAC ID: 5395918098
Enrollment ID: O20111025000313
Entity NameAnesthesia Consultants Of Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760752430
PECOS PAC ID: 0345400313
Enrollment ID: O20120328000888
Entity NameSg Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053750646
PECOS PAC ID: 3072757079
Enrollment ID: O20130912000589
Entity NameRg Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235553421
PECOS PAC ID: 1052543287
Enrollment ID: O20140422001220
Entity NameGreater Atlanta Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285043158
PECOS PAC ID: 7315264645
Enrollment ID: O20150326000819
Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775
Entity NameSleep Ezzy
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154852820
PECOS PAC ID: 4486920295
Enrollment ID: O20171023003067
Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283
Entity NameJc Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821501206
PECOS PAC ID: 1456614627
Enrollment ID: O20180423000731
Entity NameSouthcare Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942713326
PECOS PAC ID: 0345504494
Enrollment ID: O20180522002496

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. Mitchael Lee Vickers 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 AddressPractice Location Address
Mitchael Lee Vickers, CRNA
1870 Mayfield Rd,
Alpharetta, GA 30009-1552

Ph: (678) 763-5144		Mitchael Lee Vickers, CRNA
2500 Hospital Blvd, Suite 480,
Roswell, GA 30076-4975

Ph: (678) 762-0676

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Roswell, GA

Madge Evans Moon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2623    Fax: 770-751-2627
Lina Nmn Cline, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 120 Park East Dr, Roswell, GA 30075
Phone: 678-523-4000    
Dr. Sydney Mara Suss, DNP CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2500    
Shannon Woodall Betsill, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2500 Hospital Blvd, Suite 480, Roswell, GA 30076
Phone: 678-762-0676    Fax: 678-762-7980
Roger Lee Brown, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Hospital Blvd, Anesthesia Dept., Roswell, GA 30076
Phone: 770-751-2623    Fax: 770-751-2627
Patricia Amirault Crowder, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2500    Fax: 770-751-2609

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.