Mr Berlin Vincent, in La Jolla, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Berlin Vincent, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in La Jolla, California. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Excelle Anesthesia Services Inc and his current practice location is 9500 Gilman Dr, La Jolla, California. You can reach out to his office (for appointments etc.) via phone at (760) 224-2952.

Mr Berlin Vincent is licensed to practice in California (license number NA95001625) 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 1144987801.

Contact Information

	Mr Berlin Vincent,
	9500 Gilman Dr, La Jolla, CA 92093-5004
	(760) 224-2952
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Berlin Vincent
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 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.

Medical Education and Training:

Mr Berlin Vincent graduated from nursing school in 2021

NPI Data:

NPI Number: 1144987801
Provider Enumeration Date: 11/17/2021
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6709279417
Enrollment ID: I20220201002249

Medical Identifiers

Medical identifiers for Mr Berlin Vincent such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144987801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA95001625 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital	Bakersfield, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Excelle Anesthesia Services Inc	4688046774	23

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. Mr Berlin Vincent allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265535702 PECOS PAC ID: 3577476761 Enrollment ID: O20040102000635

Entity Name	Excelle Anesthesia Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689317208 PECOS PAC ID: 4688046774 Enrollment ID: O20230220000629

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. Mr Berlin Vincent 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
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

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in La Jolla, CA

Janet L. Dewees, Nurse Anesthetist - CR Medicare: Medicare Enrolled 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: Not Enrolled in Medicare 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

Mr Berlin Vincent, - Medicare Certified Registered Nurse Anesthetist (crna) in La Jolla, CA