Anthony Vitali, DMD in Gallup, NM - Medicare Dentist Provider

Anthony Vitali, DMD is a medicare enrolled "Dentist" provider in Gallup, New Mexico. His current practice location is 516 E. Nizhoni Blvd, Box 1337, Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Anthony Vitali is licensed to practice in Pennsylvania (license number DS028849L) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740218874.

Contact Information

	Anthony Vitali, DMD
	516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301-1337
	(505) 722-1000
	(505) 722-1565

Map and Direction

Healthcare Provider's Profile

Full Name	Anthony Vitali
Gender	Male
Speciality	Dentist
Location	516 E. Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740218874
Provider Enumeration Date: 06/29/2006
Last Update Date: 04/11/2008

Medicare PECOS Information:

PECOS PAC ID: 1759692502
Enrollment ID: I20150619000906

Medical Identifiers

Medical identifiers for Anthony Vitali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740218874	NPI	-	NPPES
440975	Medicaid	AZ
000T4892	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DS028849L (Pennsylvania)	Primary

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. Anthony Vitali allows following entities to bill medicare on his behalf.

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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. Anthony Vitali 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
Anthony Vitali, DMD 516 E. Nizhoni Blvd, Po Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000	Anthony Vitali, DMD 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000

Reviews and Comments

Dentist in Gallup, NM

Timothy L. Ambrose, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1565
Jovito G Sabal, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1565
Dr. Gary Bruce Woodcock, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1560 Fax: 505-722-1563
Dr. Erin Maille Montano, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 802 Us Highway 491, Gallup, NM 87301 Phone: 505-862-5018
Dr. Dain Charles Hubley, DMD Dentist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Bo Tran, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Dr. Eduardo J Valda, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 W Green St, Gallup, NM 87301 Phone: 505-870-6128

Anthony Vitali, DMD - Medicare Dentist in Gallup, NM