Mikaela Nicole Vitug, DO is a
Student In An Organized Health Care Education/training Program physician based in Mount Clemens, Michigan. Mikaela Nicole Vitug is licensed to practice in Michigan (license number ) and her current practice location is 1000 Harrington St, Mount Clemens, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 790-9003.
NPI number for Mikaela Nicole Vitug is 1053160028 and her current mailing address is 1000 Harrington St, Mount Clemens, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053160028.
Physician's Profile
Full Name | Mikaela Nicole Vitug |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1000 Harrington St, Mount Clemens, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053160028
- Provider Enumeration Date: 05/14/2024
- Last Update Date: 06/14/2024
Medical Identifiers
Medical identifiers for Mikaela Nicole Vitug such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053160028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 5151016598 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Michigan) | Primary |
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. Mikaela Nicole Vitug is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mikaela Nicole Vitug, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 790-9003 | Mikaela Nicole Vitug, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 790-9003 |
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