Dr Colleen Concannon Vitale, MD in Cranston, RI

Dr Colleen Concannon Vitale, MD is a medicare enrolled "Pediatrics" physician in Cranston, Rhode Island. Her current practice location is 1145 Reservoir Ave, Cranston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 943-7337.

Dr Colleen Concannon Vitale is licensed to practice in Rhode Island (license number 12102) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396782223.

Contact Information

	Dr Colleen Concannon Vitale, MD
	1145 Reservoir Ave, Cranston, RI 02920-6055
	(401) 943-7337
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Colleen Concannon Vitale
Gender	Female
Speciality	Pediatrics
Location	1145 Reservoir Ave, Cranston, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396782223
Provider Enumeration Date: 05/31/2006
Last Update Date: 08/06/2010

Medicare PECOS Information:

PECOS PAC ID: 2466631858
Enrollment ID: I20110208000889

Medical Identifiers

Medical identifiers for Dr Colleen Concannon Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396782223	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	12102 (Rhode Island)	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. Dr Colleen Concannon Vitale allows following entities to bill medicare on her behalf.

Entity Name	Drs. Concannon & Vitale, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366402018 PECOS PAC ID: 2567641954 Enrollment ID: O20110201000741

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 Colleen Concannon 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 Colleen Concannon Vitale, MD 1145 Reservoir Ave, Cranston, RI 02920-6055 Ph: (401) 943-7337	Dr Colleen Concannon Vitale, MD 1145 Reservoir Ave, Cranston, RI 02920-6055 Ph: (401) 943-7337

Reviews and Comments

Pediatrics Doctors in Cranston, RI

Dr. James Roy Bonner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 Reservoir Ave, Suite 205, Cranston, RI 02920 Phone: 401-943-9222 Fax: 401-943-9290
Dr. Carine M Leconte, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 Reservoir Ave, Suite 205, Cranston, RI 02920 Phone: 401-943-9222 Fax: 401-943-9290
Dr. Cecile Ibrahim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Magazine St, Cranston, RI 02920 Phone: 401-943-2925
Richard K Ohnmacht, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1145 Reservoir Ave, Suite 210, Cranston, RI 02920 Phone: 401-946-1944 Fax: 401-946-2340
Dr. Rick Manuel Quiles, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Park Ave, Cranston, RI 02910 Phone: 401-274-6575
Marvin S Wasser, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 496 Pontiac Ave, Cranston, RI 02910 Phone: 401-461-2150

Dr Colleen Concannon Vitale, MD - Medicare Pediatrics in Cranston, RI