Blaise Paul Vitale, MD in Grantsburg, WI - Medicare Family Practice

Blaise Paul Vitale, MD is a medicare enrolled "Family Medicine" physician in Grantsburg, Wisconsin. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Burnett Medical Center Inc and his current practice location is 257 W Saint George Ave, Grantsburg, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 463-5317.

Blaise Paul Vitale is licensed to practice in Wisconsin (license number 32065) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487713723.

Contact Information

	Blaise Paul Vitale, MD
	257 W Saint George Ave, Grantsburg, WI 54840-7827
	(715) 463-5317
	(715) 463-2753

Map and Direction

Physician's Profile

Full Name	Blaise Paul Vitale
Gender	Male
Speciality	Family Practice
Experience	36 Years
Location	257 W Saint George Ave, Grantsburg, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blaise Paul Vitale attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 1988

NPI Data:

NPI Number: 1487713723
Provider Enumeration Date: 12/06/2006
Last Update Date: 12/14/2012

Medicare PECOS Information:

PECOS PAC ID: 2668487133
Enrollment ID: I20060221000144

Medical Identifiers

Medical identifiers for Blaise Paul Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487713723	NPI	-	NPPES
31761500	Medicaid	WI
660085900	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	32065 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Burnett Medical Center Inc	Grantsburg, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Burnett Medical Center Inc	2163314931	12

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. Blaise Paul Vitale allows following entities to bill medicare on his behalf.

Entity Name	Burnett Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356499784 PECOS PAC ID: 2163314931 Enrollment ID: O20040326000457

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. Blaise Paul 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
Blaise Paul Vitale, MD 257 W Saint George Ave, Grantsburg, WI 54840-7827 Ph: (715) 463-5353	Blaise Paul Vitale, MD 257 W Saint George Ave, Grantsburg, WI 54840-7827 Ph: (715) 463-5317

Reviews and Comments

Family Medicine Doctors in Grantsburg, WI

Adeola A Jolayemi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 257 W Saint George Ave, Grantsburg, WI 54840 Phone: 715-463-5317 Fax: 715-463-7335
Timothy George Novick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 257 W Saint George Ave, Grantsburg, WI 54840 Phone: 715-463-5353 Fax: 715-463-2753
Vesna Radivojevic, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 257 W Saint George Ave, Grantsburg, WI 54840 Phone: 715-463-5317 Fax: 715-463-2753
David A Lang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 257 W Saint George Ave, Grantsburg, WI 54840 Phone: 715-463-5353

Blaise Paul Vitale, MD - Medicare Family Practice in Grantsburg, WI