Dr Stacey Vitiello, MD - Medicare Diagnostic Radiology in Staten Island, NY

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Dr Stacey Vitiello, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Staten Island, New York. She went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 1994 and has 30 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Coastal Imaging Llc, Health Village Imaging Llc and her current practice location is 360 Bard Ave, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at (718) 876-2000.

Dr Stacey Vitiello is licensed to practice in New York (license number 211696-1) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1245203611.

Contact Information

Dr Stacey Vitiello, MD
360 Bard Ave,
Staten Island, NY 10310-1666
(718) 876-2000
(718) 876-2006

Map and Direction




Physician's Profile

Full NameDr Stacey Vitiello
GenderFemale
SpecialityDiagnostic Radiology
Experience30 Years
Location360 Bard Ave, Staten Island, New York
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Stacey Vitiello attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 1994
  NPI Data:
  • NPI Number: 1245203611
  • Provider Enumeration Date: 02/08/2006
  • Last Update Date: 01/14/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3678503463
  • Enrollment ID: I20050822000615

Medical Identifiers

Medical identifiers for Dr Stacey Vitiello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245203611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 211696-1 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ocean Medical CenterBrick, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coastal Imaging Llc812331205544
Health Village Imaging Llc953726322324

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 Stacey Vitiello allows following entities to bill medicare on her behalf.
Entity NameRadiology Affiliates Of Central New Jersey P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811994791
PECOS PAC ID: 1759277239
Enrollment ID: O20040330000560
Entity NameHealth Village Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194810978
PECOS PAC ID: 9537263223
Enrollment ID: O20070406000359
Entity NameMontclair Breast Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053367334
PECOS PAC ID: 6608881602
Enrollment ID: O20081104000210
Entity NameAdvanced Radiology Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467863068
PECOS PAC ID: 5597985507
Enrollment ID: O20140925000686
Entity NameAdvanced Shore Imaging Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164808812
PECOS PAC ID: 1254649395
Enrollment ID: O20151009000104
Entity NameCoastal Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710334727
PECOS PAC ID: 8123312055
Enrollment ID: O20160816000083

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 Stacey Vitiello 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 AddressPractice Location Address
Dr Stacey Vitiello, MD
360 Bard Ave,
Staten Island, NY 10310-1666

Ph: (718) 876-2000		Dr Stacey Vitiello, MD
360 Bard Ave,
Staten Island, NY 10310-1666

Ph: (718) 876-2000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.