| Christopher Robert Vitale, DO | |
|
5050 N Clinton St, Fort Wayne, IN 46825-5886 | |
| (260) 484-8551 | |
| (260) 482-5060 |
| Full Name | Christopher Robert Vitale |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 15 Years |
| Location | 5050 N Clinton St, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679884068 | NPI | - | NPPES |
| 12488756 | Other | CAQH | |
| 201368500 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Home Health | Sterling heights, MI | Home health agency |
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Macomb | 8921912791 | 114 |
| Entity Name | Mclaren Macomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396014601 PECOS PAC ID: 8921912791 Enrollment ID: O20040120001000 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Robert Vitale, DO 5052 N Clinton St, Fort Wayne, IN 46825-5822 Ph: (260) 484-8551 | Christopher Robert Vitale, DO 5050 N Clinton St, Fort Wayne, IN 46825-5886 Ph: (260) 484-8551 |
Ian R Nelson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
Dr. John Paul Magno Manalo, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 | |
William H Couch, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5050 N Clinton Street, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-484-9603 | |
Dr. George Robert Kolettis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 | |
Steven Robert Eddy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-8686 Fax: 260-436-8585 | |
David A Goertzen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 | |
Joseph M Mattox, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060 |