Jonathan Vicencio, - Medicare Certified Registered Nurse Anesthetist (crna) in Palm Coast, FL

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Jonathan Vicencio, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Palm Coast, Florida. He graduated from nursing school in 2019 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 Anesthesia Physician Solutions Of North Florida Llc and his current practice location is 88 Emerald Lake Dr, Palm Coast, Florida. You can reach out to his office (for appointments etc.) via phone at (631) 455-3034.

Jonathan Vicencio is licensed to practice in Florida (license number APRN11005783) 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 1790315307.

Contact Information

Jonathan Vicencio,
88 Emerald Lake Dr,
Palm Coast, FL 32137-1311
(631) 455-3034
Not Available

Map and Direction




Provider's Profile

Full NameJonathan Vicencio
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location88 Emerald Lake Dr, Palm Coast, 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:
  • Jonathan Vicencio graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1790315307
  • Provider Enumeration Date: 01/22/2020
  • Last Update Date: 01/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406277243
  • Enrollment ID: I20200602002256

Medical Identifiers

Medical identifiers for Jonathan Vicencio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790315307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN11005783 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osceola Regional Medical CenterKissimmee, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Physician Solutions Of North Florida Llc5597066001248

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. Jonathan Vicencio allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Physician Solutions Of North Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164932901
PECOS PAC ID: 5597066001
Enrollment ID: O20151228002033

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. Jonathan Vicencio 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
Jonathan Vicencio,
88 Emerald Lake Dr,
Palm Coast, FL 32137-1311

Ph: () -		Jonathan Vicencio,
88 Emerald Lake Dr,
Palm Coast, FL 32137-1311

Ph: (631) 455-3034

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Palm Coast, FL

David F. Alaniz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 60 Memorial Medical Pkwy, Palm Coast, FL 32164
Phone: 386-586-2000    
Kenneth Matthew Zino, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Elder Pl, Palm Coast, FL 32164
Phone: 478-972-4644    Fax: 478-972-4644
Thomas Lee Bode, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 27 Parkway Dr, Palm Coast, FL 32164
Phone: 606-209-3186    

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.