Michael Alan Bevilacqua (NPI# 1609210632, PAC ID# 2769621465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1609210632 |
| PAC ID by PECOS | 2769621465 |
| Professional Enrollment ID | I20191203002972 |
| Full Name | Michael Alan Bevilacqua |
| Organization Legal Name | INTERVENTIONAL AND VASCULAR CONSULTANTS PC |
| Address |
25030 Sw Pkwy Ave Suite 200 Wilsonville OR 97070-9816 |
| Phone Number | 5036120498 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2013 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 8123200805 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380007 | LEGACY EMANUEL MEDICAL CENTER |
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 | 5036120498 | INTERVENTIONAL AND VASCULAR CONSULTANTS PC |
| Organization Legal Name | INTERVENTIONAL AND VASCULAR CONSULTANTS PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Zhang | Interventional Radiology | Interventional and Vascular Consultants PC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Nikhil K Mehta | Interventional Radiology | Interventional and Vascular Consultants PC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Jason Bauer | Diagnostic Radiology | Interventional and Vascular Consultants PC | 2701 Nw Vaughn St, Suite 325, Portland, OR 97210-5383 |
| Jaime Walton All | Interventional Radiology | Interventional and Vascular Consultants PC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Michael E Pfister | Interventional Radiology | Interventional and Vascular Consultants PC | 2701 Nw Vaughn St, Suite 325, Portland, OR 97210-5383 |
| Street Address |
25030 SW PKWY AVE SUITE 200 |
| City | WILSONVILLE |
| State | OR |
| Zip | 97070-9816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Zhang | Interventional Radiology | Interventional and Vascular Consultants PC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Nikhil K Mehta | Interventional Radiology | Interventional and Vascular Consultants PC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Jaime Walton All | Interventional Radiology | Interventional and Vascular Consultants PC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Joshua A Kidd | Physical Therapy | Advance Sports and Spine Therapy, LLC | 25030 Sw Pkwy Ave, Suite 101, Wilsonville, OR 97070-9816 |
| Ellen K. Resnick | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia LLC | 25030 Sw Pkwy Ave, Suite 200, Wilsonville, OR 97070-9816 |
| Jill Carson Harsch | Physical Therapy | Advance Sports and Spine Therapy, LLC | 25030 Sw Pkwy Ave, Suite 101, Wilsonville, OR 97070-9816 |
| Angela Cochrun | Physical Therapy | Advance Sports and Spine Therapy, LLC | 25030 Sw Pkwy Ave, Wilsonville, OR 97070-9816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lora B Smith | Occupational Therapy | Sanders Hand Therapy. | 8995 Sw Miley Rd, Suite 109, Wilsonville, OR 97070-5485 |
| Hayley Jean Hoggarth | Occupational Therapy | Sanders Hand Therapy. | 8995 Sw Miley Rd, Suite 109, Wilsonville, OR 97070-5485 |
| Corey Joe Mcchesney | Occupational Therapy | Sanders Hand Therapy. | 8995 Sw Miley Rd, Suite 109, Wilsonville, OR 97070-5485 |
| Shannon R Wakem | Occupational Therapy | Sanders Hand Therapy. | 8995 Sw Miley Rd, Suite 109, Wilsonville, OR 97070-5485 |
| Janet M Sanders | Occupational Therapy | Sanders Hand Therapy. | 8995 Sw Miley Rd, Suite 109, Wilsonville, OR 97070-5485 |
| Scott R. Iburg | Optometry | Rha Ventures LLC | 25699 Sw Argyle Ave A, Lenza Eye Center, Wilsonville, OR 97070-5798 |
| Susan Elizabeth Passarelli | Nurse Practitioner | 29702 Sw Town Ctr Loop W, Suite C, Wilsonville, OR 97070-6481 | |
| Rosalyn Gross | Nurse Practitioner | Wilsonville Healthcare LLC | 29702 Sw Town Ctr Loop W, Suite C, Wilsonville, OR 97070-6481 |
| Stephen Fekete | Podiatry | 29756 Sw Town Ctr Loop W, Suite H, Wilsonville, OR 97070-6482 | |
| Robert W Davis | Clinical Psychologist | 8170 Sw Vlahos Dr, Apt 117, Wilsonville, OR 97070-6485 | |
| Find all physicians in zip 97070 | |||
| City | WILSONVILLE |
| Zip Code | 97070 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | WILSONVILLE + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Michael Alan Bevilacqua.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.