Amy A Vitale, MS,BA,LADC,LPC in Branford, CT - Medicare Counselor Provider

Amy A Vitale, MS,BA,LADC,LPC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Branford, Connecticut. Her current practice location is 250 W Main St Ste 301, Branford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 779-6784.

Amy A Vitale is licensed to practice in Connecticut (license number 972) 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 1821424706.

Contact Information

	Amy A Vitale, MS,BA,LADC,LPC
	250 W Main St Ste 301, Branford, CT 06405-4032
	(203) 779-6784
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy A Vitale
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	250 W Main St Ste 301, Branford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821424706
Provider Enumeration Date: 09/23/2013
Last Update Date: 04/27/2022

Medicare PECOS Information:

PECOS PAC ID: 7416308705
Enrollment ID: I20240220003342

Medical Identifiers

Medical identifiers for Amy A Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821424706	NPI	-	NPPES
12653171	Other	CT	CAQH
008049844	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	3129 (Connecticut)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	972 (Connecticut)	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. Amy A Vitale allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Renaissance, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700893807 PECOS PAC ID: 0941253728 Enrollment ID: O20050222000611

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. Amy A 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
Amy A Vitale, MS,BA,LADC,LPC 250 W Main St Ste 301, Branford, CT 06405-4032 Ph: (203) 779-6784	Amy A Vitale, MS,BA,LADC,LPC 250 W Main St Ste 301, Branford, CT 06405-4032 Ph: (203) 779-6784

Reviews and Comments

Counselor in Branford, CT

Elizabeth Ann Garrigan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Peddlers Dr, Branford, CT 06405 Phone: 203-526-7040
Ms. Heather Marie Cassella, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Indian Woods Rd, Branford, CT 06405 Phone: 203-815-7838
Ian Kovac, LPC, LMHC, MT-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Sycamore Way, Branford, CT 06405 Phone: 203-483-2630
Robert P Sheedy, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Sycamore Way, Branford, CT 06405 Phone: 203-483-2645 Fax: 203-483-2648
Renee L Bacon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 W Main St, Branford, CT 06405 Phone: 203-318-4220
Kathleen Walsh, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1092 Main St, Branford, CT 06405 Phone: 203-433-4579
Jamie Leigh Perillo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1090 Main St, Branford, CT 06405 Phone: 203-315-1555

Amy A Vitale, MS,BA,LADC,LPC - Medicare Counselor in Branford, CT