Mr David Mark Vitello, AGPCNP is a medicare enrolled "Nurse Practitioner - Acute Care" provider in Portland, Oregon. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northwest Primary Care Group Pc and his current practice location is
3303 Sw Bond Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 418-7246.
Mr David Mark Vitello is licensed to practice in Oregon (license number 201507396NP-PP) 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 1811038755.
Healthcare Provider's Profile
Full Name | Mr David Mark Vitello |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 10 Years |
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Location | 3303 Sw Bond Ave, Portland, Oregon |
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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 David Mark Vitello graduated from medical school in 2014
NPI Data:
- NPI Number: 1811038755
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 04/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799090189
- Enrollment ID: I20151207000630
Medical Identifiers
Medical identifiers for Mr David Mark Vitello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811038755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | AC175336 (Oregon) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 201507396NP-PP (Oregon) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Northwest Primary Care Group Pc | 0244125052 | 43 |
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 David Mark Vitello allows following entities to bill medicare on his behalf.
Provider Name | University Anesthesiology Associates Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1841217817 PECOS PAC ID: 6901702869 Enrollment ID: O20031210000967 |
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Provider Name | Northwest Primary Care Group Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1144319658 PECOS PAC ID: 0244125052 Enrollment ID: O20040219000947 |
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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 David Mark Vitello 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 David Mark Vitello, AGPCNP Po Box 22075, Milwaukie, OR 97269-2075 Ph: (503) 353-1272 | Mr David Mark Vitello, AGPCNP 3303 Sw Bond Ave, Portland, OR 97239-4501 Ph: (503) 418-7246 |
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