Candice Lynne Vitale, NP in Clinton Twp, MI - Medicare Nurse Practitioner

Candice Lynne Vitale, NP is a medicare enrolled "Nurse Practitioner" in Clinton Twp, Michigan. Her current practice location is 43475 Dalcoma Drive, Ste 150, Clinton Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at (877) 784-3667.

Candice Lynne Vitale is licensed to practice in Michigan (license number 4704277903) 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 1386083046.

Contact Information

	Candice Lynne Vitale, NP
	43475 Dalcoma Drive, Ste 150, Clinton Twp, MI 48038
	(877) 784-3667
	(248) 869-3982

Map and Direction

Provider's Profile

Full Name	Candice Lynne Vitale
Gender	Female
Speciality	Nurse Practitioner
Location	43475 Dalcoma Drive, Clinton Twp, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386083046
Provider Enumeration Date: 06/17/2013
Last Update Date: 05/03/2018

Medicare PECOS Information:

PECOS PAC ID: 4789818808
Enrollment ID: I20131003000371

Medical Identifiers

Medical identifiers for Candice Lynne Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386083046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704277903 (Michigan)	Primary

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. Candice Lynne Vitale allows following entities to bill medicare on her behalf.

Entity Name	University Neurosurgical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699761379 PECOS PAC ID: 9739139759 Enrollment ID: O20050127000624

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. Candice Lynne Vitale 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
Candice Lynne Vitale, NP 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 Ph: (877) 784-3667	Candice Lynne Vitale, NP 43475 Dalcoma Drive, Ste 150, Clinton Twp, MI 48038 Ph: (877) 784-3667

Reviews and Comments

Nurse Practitioner Nurses in Clinton Twp, MI

Mrs. Leanne Marie Kook, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16151 19 Mile Rd Ste 302, Clinton Twp, MI 48038 Phone: 586-228-7433 Fax: 586-412-3924
Alice Schuster, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15855 Nineteen Mile Rd, St Josephs Healthcare, Clinton Twp, MI 48038 Phone: 586-263-2016 Fax: 586-263-2614
Dr. Tarek Albitar, DNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22550 Hall Rd, Clinton Twp, MI 48036 Phone: 586-413-6000
Mrs. Debra A. Damioli, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42855 Garfield Rd Ste 105, Clinton Twp, MI 48038 Phone: 586-226-1387 Fax: 586-226-1859
Silvana Stamevski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37555 Garfield Rd Ste 110, Clinton Twp, MI 48036 Phone: 586-773-6300 Fax: 586-773-6266
Shoma Thomas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16151 19 Mile Rd, Clinton Twp, MI 48038 Phone: 586-228-7433
Lynnette Marie Zigo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 43361 Commons Dr, Clinton Twp, MI 48038 Phone: 586-286-2620

Candice Lynne Vitale, NP - Medicare Nurse Practitioner in Clinton Twp, MI