Blase Vitello, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Big Rapids, Michigan. His current practice location is
605 Oak Street, Big Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 592-4212.
Blase Vitello is licensed to practice in Michigan (license number 4301054808) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861450660.
Physician's Profile
| Full Name | Blase Vitello |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 605 Oak Street, Big Rapids, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861450660
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 03/14/2017
Medicare PECOS Information:
- PECOS PAC ID: 2860391646
- Enrollment ID: I20260303002394
Medical Identifiers
Medical identifiers for Blase Vitello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861450660 | NPI | - | NPPES |
| DC0138 | Other | MI | MEDICARE RR GROUP PIN |
| 300E410190 | Other | MI | BCBS GROUP PIN |
| 4503429 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 4301054808 (Michigan) | Primary |
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. Blase Vitello 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 |
Blase Vitello, MD 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 353-7272 | Blase Vitello, MD 605 Oak Street, Big Rapids, MI 49307 Ph: (231) 592-4212 |
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