Dr Jerome Vitale, DMD is a medicare enrolled "Dentist - General Practice" provider in Port Lucie, Florida. His current practice location is
1343 Se Port St Lucie Blvd, Port Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at
(772) 337-1111.
Dr Jerome Vitale is licensed to practice in Florida (license number DN13975) 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 1942423280.
Healthcare Provider's Profile
Full Name | Dr Jerome Vitale |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1343 Se Port St Lucie Blvd, Port Lucie, Florida |
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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: 1942423280
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799071643
- Enrollment ID: I20160901002003
Medical Identifiers
Medical identifiers for Dr Jerome Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942423280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DN13975 (Florida) | Primary |
1223G0001X | Dentist - General Practice | 043398 (New York) | Secondary |
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. Dr Jerome 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 |
Dr Jerome Vitale, DMD 1343 Se Port St Lucie Blvd, Port Lucie, FL 34952 Ph: (772) 337-1111 | Dr Jerome Vitale, DMD 1343 Se Port St Lucie Blvd, Port Lucie, FL 34952 Ph: (772) 337-1111 |
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