Elizabeth Vidal, PA-C is a medicare enrolled "Physician Assistant" physician in Winter Garden, Florida. She went to Nova Southeastern Univ College Of Dental Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Leavitt Medical Associates Of Florida Inc and her current practice location is
4020 Winter Garden Vineland Rd Ste 101, Winter Garden, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 993-6120.
Elizabeth Vidal is licensed to practice in Florida (license number 9110762) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205330198.
Physician's Profile
| Full Name | Elizabeth Vidal |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 4020 Winter Garden Vineland Rd Ste 101, Winter Garden, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Elizabeth Vidal attended and graduated from Nova Southeastern Univ College Of Dental Medicine in 2017
NPI Data:
- NPI Number: 1205330198
- Provider Enumeration Date: 03/23/2018
- Last Update Date: 01/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052668464
- Enrollment ID: I20180717001134
Medical Identifiers
Medical identifiers for Elizabeth Vidal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205330198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 9110762 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 9110762 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Leavitt Medical Associates Of Florida Inc | 4688579311 | 172 |
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. Elizabeth Vidal 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 |
|---|
Elizabeth Vidal, PA-C
4020 Winter Garden Vineland Rd,
Winter Garden, FL 34787-9502
Ph: () - | Elizabeth Vidal, PA-C
4020 Winter Garden Vineland Rd Ste 101,
Winter Garden, FL 34787
Ph: (407) 993-6120 |
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