Vincent F Polvinale, CRNA in Dunwoody, GA - Medicare Nurse Anesthetist, Certified Registered

Vincent F Polvinale, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dunwoody, Georgia. His current practice location is 4575 North Shallowford Road, Dunwoody, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 454-4286.

Vincent F Polvinale is licensed to practice in Georgia (license number RN096241) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154376341.

Contact Information

	Vincent F Polvinale, CRNA
	4575 North Shallowford Road, Dunwoody, GA 30338
	(770) 454-4286
	(770) 454-4065

Map and Direction

Provider's Profile

Full Name	Vincent F Polvinale
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	4575 North Shallowford Road, Dunwoody, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154376341
Provider Enumeration Date: 05/24/2006
Last Update Date: 01/04/2013

Medicare PECOS Information:

PECOS PAC ID: 7113924861
Enrollment ID: I20210625000123

Medical Identifiers

Medical identifiers for Vincent F Polvinale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154376341	NPI	-	NPPES
000550624C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN096241 (Georgia)	Primary

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. Vincent F Polvinale allows following entities to bill medicare on his behalf.

Entity Name	Moonlight Anesthesia, P.l.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033419791 PECOS PAC ID: 0547442758 Enrollment ID: O20110309000707

Entity Name	Quantum Anesthesia Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306270806 PECOS PAC ID: 2668608910 Enrollment ID: O20131115000944

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. Vincent F Polvinale 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
Vincent F Polvinale, CRNA Po Box 70128, Marietta, GA 30007-0128 Ph: (770) 578-1800	Vincent F Polvinale, CRNA 4575 North Shallowford Road, Dunwoody, GA 30338 Ph: (770) 454-4286

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dunwoody, GA

John G Anderson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4575 N Shallowford Rd, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065
Nita M Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065
Lydia Mallari, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Rd, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065
Martha Adams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065
Margaret Olsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065
Lynnette Virginia Saefke-wolc, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4827 Manget Ct, Dunwoody, GA 30338 Phone: 770-396-4704 Fax: 770-396-1576

Vincent F Polvinale, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dunwoody, GA