Dr Nicole Colao-vitolo, PSYD in San Francisco, CA - Medicare Psychologist Provider

Dr Nicole Colao-vitolo, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Francisco, California. Her current practice location is 4141 Geary Blvd, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 833-4152.

Dr Nicole Colao-vitolo is licensed to practice in California (license number 22709) 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 1184855702.

Contact Information

	Dr Nicole Colao-vitolo, PSYD
	4141 Geary Blvd, San Francisco, CA 94118-3109
	(415) 833-4152
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole Colao-vitolo
Gender	Female
Speciality	Psychologist - Clinical
Location	4141 Geary Blvd, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184855702
Provider Enumeration Date: 07/30/2009
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2961889647
Enrollment ID: I20220518002396

Medical Identifiers

Medical identifiers for Dr Nicole Colao-vitolo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184855702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	22709 (California)	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. Dr Nicole Colao-vitolo allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Dr Nicole Colao-vitolo 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
Dr Nicole Colao-vitolo, PSYD 1547 Treat Ave, San Francisco, CA 94110-5259 Ph: (415) 724-3764	Dr Nicole Colao-vitolo, PSYD 4141 Geary Blvd, San Francisco, CA 94118-3109 Ph: (415) 833-4152

Reviews and Comments

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Dr Nicole Colao-vitolo, PSYD - Medicare Psychologist in San Francisco, CA