Jennifer Nicole Vitale, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rockville Ctr, New York. She graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is
100 N Village Ave, Suite 27, Rockville Ctr, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 238-1421.
Jennifer Nicole Vitale is licensed to practice in New York (license number 070143) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528158615.
Healthcare Provider's Profile
| Full Name | Jennifer Nicole Vitale |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 27 Years |
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| Location | 100 N Village Ave, Rockville Ctr, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer Nicole Vitale graduated from medical school in 1998
NPI Data:
- NPI Number: 1528158615
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 08/21/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183715634
- Enrollment ID: I20070813000323
Medical Identifiers
Medical identifiers for Jennifer Nicole Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528158615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 070143 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore - Lij Medical Pc | 3375701568 | 5120 |
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. Jennifer Nicole Vitale allows following entities to bill medicare on her behalf.
| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Jennifer Nicole Vitale 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 |
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Jennifer Nicole Vitale, LCSW
Po Box 710,
East Meadow, NY 11554-0710
Ph: (516) 238-1421 | Jennifer Nicole Vitale, LCSW
100 N Village Ave, Suite 27,
Rockville Ctr, NY 11570-3767
Ph: (516) 238-1421 |
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