Renae L Vitale, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Altus, Oklahoma. She graduated from medical school in 1983 and has 43 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Jackson County Memorial Hospital Authority and her current practice location is
205 S Park Ln, Altus, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 379-6850.
Renae L Vitale is licensed to practice in Oklahoma (license number 4704) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013332733.
Healthcare Provider's Profile
| Full Name | Renae L Vitale |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 43 Years |
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| Location | 205 S Park Ln, Altus, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Renae L Vitale graduated from medical school in 1983
NPI Data:
- NPI Number: 1013332733
- Provider Enumeration Date: 03/04/2014
- Last Update Date: 12/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355565623
- Enrollment ID: I20140609000552
Medical Identifiers
Medical identifiers for Renae L Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013332733 | NPI | - | NPPES |
| 200531990A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 4704 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Jackson County Memorial Hospital Authority | 1759293178 | 44 |
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. Renae L Vitale allows following entities to bill medicare on her behalf.
| Entity Name | Jackson County Memorial Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
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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. Renae L 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 |
Renae L Vitale, MSW, LCSW Po Box 8190, Altus, OK 73522-8190 Ph: (580) 379-6850 | Renae L Vitale, MSW, LCSW 205 S Park Ln, Altus, OK 73521-5755 Ph: (580) 379-6850 |
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