Renae L Vitale, MSW, LCSW | |
205 S Park Ln, Altus, OK 73521-5755 | |
(580) 379-6850 | |
(580) 379-6859 |
Full Name | Renae L Vitale |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 41 Years |
Location | 205 S Park Ln, Altus, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013332733 | NPI | - | NPPES |
200531990A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4704 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson County Memorial Hospital Authority | 1759293178 | 54 |
Entity Name | Jackson County Memorial Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
Mailing Address | Practice Location Address |
---|---|
Renae L Vitale, MSW, LCSW Po Box 8190, Altus, OK 73522-8190 Ph: (580) 379-6850 | Renae L Vitale, MSW, LCSW 205 S Park Ln, Altus, OK 73521-5755 Ph: (580) 379-6850 |
Mrs. Rhonda E Valdez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 S Park Ln, Altus, OK 73521 Phone: 580-379-6850 Fax: 580-379-6859 | |
Chelsea Arnold, LCSW, PHD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 N 1st St Bldg 46, Altus, OK 73523 Phone: 580-481-5244 | |
Ms. Veronica Lea Damron, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 E Tamarack Rd, 403, Altus, OK 73521 Phone: 580-471-7789 |