| Dr Matthew Dominic Vitale, DO | |
|
1000 Harrington St, Mount Clemens, MI 48043-2920 | |
| (586) 493-8000 | |
| Not Available |
| Full Name | Dr Matthew Dominic Vitale |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 1000 Harrington St, Mount Clemens, Michigan |
| 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 |
|---|---|---|---|
| 1184074155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101022649 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Franciscan St Anthony Health - Michigan City | Michigan city, IN | Hospital |
| Lakeland Hospital Watervliet | Watervliet, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarksville Emergency Group Pc | 6507277423 | 154 |
| Epmg Southwest Michigan Pllc | 2769719236 | 46 |
| Entity Name | Clarksville Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023487154 PECOS PAC ID: 6507277423 Enrollment ID: O20201125002335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Dominic Vitale, DO 467 Mckinley Ave, Grosse Pointe Farms, MI 48236-3241 Ph: (586) 690-0039 | Dr Matthew Dominic Vitale, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8000 |
Rebecca Marquis, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8142 Fax: 586-493-3250 | |
Dr. Benjamin Jack Doerr, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Peter Siclari, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-790-9003 | |
Eugene C Yen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Joseph Nino Carlier, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Megan Maureen Mcgreevy, D. O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 |