Paul L Vitulli, DO | |
330 A1a N, Suite 322, Ponte Vedra Beach, FL 32082-1823 | |
(904) 551-0703 | |
(904) 551-0709 |
Full Name | Paul L Vitulli |
---|---|
Gender | Male |
Speciality | Interventional Radiology |
Experience | 27 Years |
Location | 330 A1a N, Ponte Vedra Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932142114 | NPI | - | NPPES |
000818800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | OS10498 (Florida) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | OS10498 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Duval Vascular Center Llc | 6305131251 | 2 |
Entity Name | Diagnostic Imaging Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285870089 PECOS PAC ID: 6709942097 Enrollment ID: O20090312000166 |
Entity Name | First Coast Vein Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457755373 PECOS PAC ID: 7315261948 Enrollment ID: O20150130000561 |
Entity Name | Duval Vascular Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013375195 PECOS PAC ID: 6305131251 Enrollment ID: O20160817001207 |
Mailing Address | Practice Location Address |
---|---|
Paul L Vitulli, DO 915 W Monroe St Ste 100, Jacksonville, FL 32204-1177 Ph: (904) 518-1398 | Paul L Vitulli, DO 330 A1a N, Suite 322, Ponte Vedra Beach, FL 32082-1823 Ph: (904) 551-0703 |
Dr. Megan E Deacon-casey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 A1a N, Suite 322, Ponte Vedra Beach, FL 32082 Phone: 904-551-0703 Fax: 904-551-0709 | |
Dr. Scott David Wiedenmann, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 128 Lagoon Forest Dr, Ponte Vedra Beach, FL 32082 Phone: 904-273-9591 Fax: 904-273-9591 | |
Raymond Balsys, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1337 Ponte Vedra Blvd, Ponte Vedra Beach, FL 32082 Phone: 904-273-5857 | |
Thomas Paganucci, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 24801 Deer Trace Dr, Ponte Vedra Beach, FL 32082 Phone: 904-613-2026 Fax: 904-280-9513 | |
Dr. Kevin C Jones, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 129 Carriage Lamp Way, Ponte Vedra Beach, FL 32082 Phone: 904-728-8825 | |
Shahid M Nasir, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1052 Ponte Vedra Blvd, Ponte Vedra Beach, FL 32082 Phone: 904-551-0703 Fax: 904-551-0709 | |
Buchra Watfa, ARNP Radiology Medicare: Not Enrolled in Medicare Practice Location: 330 A1a N, Ponte Vedra Beach, FL 32082 Phone: 904-280-0600 |