Dr Dana Shawn Vitale, DO - Medicare Emergency Medicine in Kingman, AZ

Dr Dana Shawn Vitale, DO is a medicare enrolled "Emergency Medicine" physician in Kingman, Arizona. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Nes Arizona Inc, Fremont Emergency Services Scherr Ltd, Optum Medical Group Ii Rhodes P C and his current practice location is 3269 Stockton Hill Rd, Kingman, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 757-0645.

Dr Dana Shawn Vitale is licensed to practice in Nevada (license number DO1678) 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 1164450524.

Contact Information

Dr Dana Shawn Vitale, DO
3269 Stockton Hill Rd,
Kingman, AZ 86409-3619
(928) 757-0645
Not Available

Map and Direction




Physician's Profile

Full NameDr Dana Shawn Vitale
GenderMale
SpecialityEmergency Medicine
Experience29 Years
Location3269 Stockton Hill Rd, Kingman, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dana Shawn Vitale graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1164450524
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 07/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092731547
  • Enrollment ID: I20051024000515

Medical Identifiers

Medical identifiers for Dr Dana Shawn Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164450524NPI-NPPES
971649MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
204R00000XElectrodiagnostic Medicine DO1275 (Alabama)Secondary
207P00000XEmergency Medicine 21883 (Mississippi)Secondary
207P00000XEmergency Medicine 067626 (Georgia)Secondary
207P00000XEmergency Medicine 4124 (Arizona)Secondary
207P00000XEmergency Medicine 5514 (Oklahoma)Secondary
207P00000XEmergency Medicine OS11719 (Florida)Secondary
207Q00000XFamily Medicine 4124 (Arizona)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine DO1678 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountainview HospitalLas vegas, NVHospital
Southern Hills Hospital And Medical CenterLas vegas, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nes Arizona Inc216373720665
Fremont Emergency Services Scherr Ltd488068455498
Optum Medical Group Ii Rhodes P C4981687779319

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 Dana Shawn Vitale allows following entities to bill medicare on his behalf.
Entity NameTempe Emergency Physicians Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376934315
PECOS PAC ID: 2365337300
Enrollment ID: O20040218000500
Entity NameBanner Urgent Care Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316349855
PECOS PAC ID: 3678749496
Enrollment ID: O20111228000784
Entity NameNes Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205217700
PECOS PAC ID: 2163737206
Enrollment ID: O20150818005113

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 Dana Shawn 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 AddressPractice Location Address
Dr Dana Shawn Vitale, DO
2837 Diamond Spur St,
Kingman, AZ 86401-7848

Ph: (928) 897-2016
Dr Dana Shawn Vitale, DO
3269 Stockton Hill Rd,
Kingman, AZ 86409-3619

Ph: (928) 757-0645

Reviews and Comments


Emergency Medicine Doctors in Kingman, AZ

Brian Jahnny, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409
Phone: 928-757-0649    Fax: 928-681-8638
Joseph Aaron Bradbury, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409
Phone: 928-757-0649    
Jeremy Gabriel Barnes, D.O.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3350 Harrison St Apt 124, Kingman, AZ 86409
Phone: 602-301-5909    
Daniel Porter,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409
Phone: 928-757-2101    
Dr. Michael Edward Sheehy, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409
Phone: 702-274-8220    Fax: 928-692-4150
Katie Sumpter, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409
Phone: 928-757-2101    
Dr. Adrian Q Gomez, D.O
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409
Phone: 928-757-0649    Fax: 928-681-8638

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.