Mikaela Nicole Vitug, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Mount Clemens, Michigan. Her current practice location is
1000 Harrington St, Mount Clemens, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 790-9003.
Mikaela Nicole Vitug is licensed to practice in Michigan (license number ) 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 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053160028
- Provider Enumeration Date: 05/14/2024
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496291247
- Enrollment ID: I20240729002007
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
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 |
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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