Evan Patrick Vickers, - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL

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Evan Patrick Vickers, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sunshine State Anesthesia Partners Llc and his current practice location is 3625 University Blvd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 702-6111.

Evan Patrick Vickers is licensed to practice in Florida (license number APRN11000865) 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 1730652108.

Contact Information

Evan Patrick Vickers,
3625 University Blvd S,
Jacksonville, FL 32216-4207
(904) 702-6111
Not Available

Map and Direction




Provider's Profile

Full NameEvan Patrick Vickers
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location3625 University Blvd S, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Evan Patrick Vickers graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1730652108
  • Provider Enumeration Date: 01/08/2019
  • Last Update Date: 01/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7517291321
  • Enrollment ID: I20190627003470

Medical Identifiers

Medical identifiers for Evan Patrick Vickers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730652108NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN11000865 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sunshine State Anesthesia Partners Llc8123434792365

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. Evan Patrick Vickers allows following entities to bill medicare on his behalf.
Entity NameAnesthesiology Professional Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902856891
PECOS PAC ID: 4688577141
Enrollment ID: O20040130000927
Entity NameRiverside Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134478209
PECOS PAC ID: 4688824600
Enrollment ID: O20121026000522
Entity NameQuiescence Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942671805
PECOS PAC ID: 2567750359
Enrollment ID: O20161011001486
Entity NameVision Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134740319
PECOS PAC ID: 0648691592
Enrollment ID: O20200601001043
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003

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. Evan Patrick 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
Evan Patrick Vickers,
414 5th Ave S,
Jacksonville Beach, FL 32250-5454

Ph: (843) 425-5915		Evan Patrick Vickers,
3625 University Blvd S,
Jacksonville, FL 32216-4207

Ph: (904) 702-6111

Reviews and Comments


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Kristin Denise Brown,
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Phone: 904-953-2000    

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.