| Mr Berlin Vincent, | |
|
9500 Gilman Dr, La Jolla, CA 92093-5004 | |
| (760) 224-2952 | |
| Not Available |
| Full Name | Mr Berlin Vincent |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 9500 Gilman Dr, La Jolla, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144987801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | NA95001625 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaleida Health | Buffalo, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maple Gate Anesthesiologists, P.c. | 8022913839 | 130 |
| Entity Name | Maple Gate Anesthesiologists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528072709 PECOS PAC ID: 8022913839 Enrollment ID: O20031204000851 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Berlin Vincent, Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Mr Berlin Vincent, 9500 Gilman Dr, La Jolla, CA 92093-5004 Ph: (760) 224-2952 |
Janet L. Dewees, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9850 Genesee Ave, La Jolla, CA 92037 Phone: 858-552-9177 | |
Kinnah Menta Hughes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 858-657-6620 | |
Sarah Faith Deslate Yamanishi, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9300 Campus Point Dr, La Jolla, CA 92037 Phone: 858-249-6751 | |
Rachel Thorstenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7451 Girard Ave, La Jolla, CA 92037 Phone: 217-419-0271 | |
Mr. Jesse Jay Rivera, RN, BSN, MS, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9850 Genesee Ave Ste 880, La Jolla, CA 92037 Phone: 858-404-9929 | |
Jacqueline S Dean, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave Ste 107-148, La Jolla, CA 92037 Phone: 619-807-9997 Fax: 619-285-1724 |