Ms Susan I Vangorder, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Portland, Oregon. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Anesthesiology Associates Llc and her current practice location is
3181 Sw Sam Jackson Park Road, Ohsu, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 494-8014.
Ms Susan I Vangorder is licensed to practice in Oregon (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487653796.
Physician's Profile
Full Name | Ms Susan I Vangorder |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 21 Years |
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Location | 3181 Sw Sam Jackson Park Road, Portland, Oregon |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Susan I Vangorder graduated from medical school in 2003
NPI Data:
- NPI Number: 1487653796
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 09/19/2007
Medicare PECOS Information:
- PECOS PAC ID: 3173506961
- Enrollment ID: I20070308000640
Medical Identifiers
Medical identifiers for Ms Susan I Vangorder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487653796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 0001131932 (Virginia) | Secondary |
207L00000X | Anesthesiology | 0024165997 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Anesthesiology Associates Llc | 6901702869 | 205 |
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. Ms Susan I Vangorder allows following entities to bill medicare on her behalf.
Entity Name | University Anesthesiology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841217817 PECOS PAC ID: 6901702869 Enrollment ID: O20031210000967 |
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Entity Name | Anesthesia Associates Northwest Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
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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. Ms Susan I Vangorder 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 |
Ms Susan I Vangorder, CRNA 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239-3098 Ph: (503) 494-8014 | Ms Susan I Vangorder, CRNA 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239-3098 Ph: (503) 494-8014 |
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