Amy Arceneaux Vitte, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Lafayette, Louisiana. Her current practice location is
4704 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 521-9250.
Amy Arceneaux Vitte is licensed to practice in Louisiana (license number AP05793) 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 1306071162.
Physician's Profile
| Full Name | Amy Arceneaux Vitte |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 4704 Ambassador Caffery Pkwy, Lafayette, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306071162
- Provider Enumeration Date: 05/22/2009
- Last Update Date: 06/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 8921153131
- Enrollment ID: I20090910000684
Medical Identifiers
Medical identifiers for Amy Arceneaux Vitte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306071162 | NPI | - | NPPES |
| AP05793 | Other | LA | STATE LICENSE |
| 1883891 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080P0205X | Pediatrics - Pediatric Endocrinology | AP05793 (Louisiana) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP05793 (Louisiana) | 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 Arceneaux Vitte allows following entities to bill medicare on her behalf.
| Entity Name | Our Lady Of The Lake Physician Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377 |
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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. Amy Arceneaux Vitte 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 |
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Amy Arceneaux Vitte, NP
5959 S Sherwood Forest Blvd,
Baton Rouge, LA 70816-6038
Ph: (225) 526-0011 | Amy Arceneaux Vitte, NP
4704 Ambassador Caffery Pkwy,
Lafayette, LA 70508-6908
Ph: (337) 521-9250 |
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