Mary J Vitt, AUD, CCC-A is a medicare enrolled "Audiologist" provider in Los Ranchos, New Mexico. Her current practice location is
8200 Guadalupe Trl Nw, Los Ranchos, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 890-4296.
Mary J Vitt is licensed to practice in New Mexico (license number 3000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073844569.
Healthcare Provider's Profile
Full Name | Mary J Vitt |
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Gender | Female |
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Speciality | Audiologist |
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Location | 8200 Guadalupe Trl Nw, Los Ranchos, New Mexico |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073844569
- Provider Enumeration Date: 01/22/2010
- Last Update Date: 12/05/2014
Medicare PECOS Information:
- PECOS PAC ID: 6507015666
- Enrollment ID: I20121004000432
Medical Identifiers
Medical identifiers for Mary J Vitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073844569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 3000 (New Mexico) | Primary |
237600000X | Audiologist-hearing Aid Fitter | 80399 (Texas) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 5160 (New Mexico) | Secondary |
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. Mary J Vitt allows following entities to bill medicare on her behalf.
Provider Name | Taos Picuris Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1548372071 PECOS PAC ID: 5193638245 Enrollment ID: O20031106000188 |
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Provider Name | Acoma-canoncito-laguna Indian Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1225103922 PECOS PAC ID: 8426951682 Enrollment ID: O20040127001079 |
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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. Mary J Vitt 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 |
Mary J Vitt, AUD, CCC-A 8312 Springcroft Rd Nw, Albuquerque, NM 87120-5584 Ph: (505) 480-5978 | Mary J Vitt, AUD, CCC-A 8200 Guadalupe Trl Nw, Los Ranchos, NM 87114-1121 Ph: (505) 890-4296 |
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