Dr Carlos J Vidal, MD is a medicare enrolled "Hospitalist" physician in Gettysburg, Pennsylvania. He graduated from medical school in 1991 and has 34 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Wellspan Medical Group, Health Care Center Llc and his current practice location is
147 Gettys St, Gettysburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 339-2025.
Dr Carlos J Vidal is licensed to practice in Pennsylvania (license number MD420108) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225023765.
Physician's Profile
| Full Name | Dr Carlos J Vidal |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 34 Years |
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| Location | 147 Gettys St, Gettysburg, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Carlos J Vidal graduated from medical school in 1991
NPI Data:
- NPI Number: 1225023765
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 09/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002961935
- Enrollment ID: I20090828000400
Medical Identifiers
Medical identifiers for Dr Carlos J Vidal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225023765 | NPI | - | NPPES |
| 001916078 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | BV7875214 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | MD420108 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | D81367 (Maryland) | Secondary |
| 208M00000X | Hospitalist | MD420108 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellspan Medical Group | 1951213115 | 2052 |
| Health Care Center Llc | 6103227327 | 2 |
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. Dr Carlos J Vidal allows following entities to bill medicare on his behalf.
| Entity Name | Wellspan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669770004
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815 |
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| Entity Name | Health Care Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427684059
PECOS PAC ID: 6103227327
Enrollment ID: O20210625000905 |
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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. Dr Carlos J Vidal 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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Dr Carlos J Vidal, MD
601 Memory Ln,
York, PA 17402-2231
Ph: (717) 851-1405 | Dr Carlos J Vidal, MD
147 Gettys St,
Gettysburg, PA 17325-2534
Ph: (717) 339-2025 |
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