Cara Lyne-ann Vitadamo, PMHNP in Shallotte, NC

Cara Lyne-ann Vitadamo, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Shallotte, North Carolina. Her current practice location is 120 Coastal Horizons Dr, Shallotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 754-4515.

Cara Lyne-ann Vitadamo is licensed to practice in North Carolina (license number 5018506) 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 1184306193.

Contact Information

	Cara Lyne-ann Vitadamo, PMHNP
	120 Coastal Horizons Dr, Shallotte, NC 28470-6094
	(910) 754-4515
	(910) 341-5779

Map and Direction

Provider's Profile

Full Name	Cara Lyne-ann Vitadamo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	120 Coastal Horizons Dr, Shallotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184306193
Provider Enumeration Date: 08/01/2023
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6002266806
Enrollment ID: I20231220000010

Medical Identifiers

Medical identifiers for Cara Lyne-ann Vitadamo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184306193	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5018506 (North Carolina)	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. Cara Lyne-ann Vitadamo allows following entities to bill medicare on her behalf.

Entity Name	Coastal Horizons Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046

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. Cara Lyne-ann Vitadamo 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
Cara Lyne-ann Vitadamo, PMHNP 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145	Cara Lyne-ann Vitadamo, PMHNP 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 Ph: (910) 754-4515

Reviews and Comments

Nurse Practitioner Nurses in Shallotte, NC

Elizabeth Barton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3640 Express Dr, Shallotte, NC 28470 Phone: 910-755-5222
Mr. John Hudson Fillmore, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 Whiteville Rd Nw, Shallotte, NC 28470 Phone: 910-754-4441
Jennifer Louise Percival, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441
Hannah Nicholson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4503 Main St Ste 1, Shallotte, NC 28470 Phone: 910-754-2273 Fax: 910-754-2254
Heidi Ann Schroeder, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 341 Whiteville Rd Nw, Shallotte, NC 28470 Phone: 877-935-5255 Fax: 910-236-2118
Nicole Marie Ely, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 237 Mulberry St, Shallotte, NC 28470 Phone: 910-754-8858
Nancy Lee Murdock, DNP FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4748 Main Street, Shallotte, NC 28470 Phone: 910-754-2273 Fax: 910-754-2254

Cara Lyne-ann Vitadamo, PMHNP - Medicare Nurse Practitioner in Shallotte, NC