Dr Sean Carl Vidulich, DO in Greenville, NC

Dr Sean Carl Vidulich, DO is a medicare enrolled "Family Medicine" physician in Greenville, North Carolina. He went to West Virginia School Of Osteopathic Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Colorado Permanente Medical Group Pc and his current practice location is 1204 E Fire Tower Rd, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 744-1122.

Dr Sean Carl Vidulich is licensed to practice in North Carolina (license number 2019-01617) 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 1053767749.

Contact Information

	Dr Sean Carl Vidulich, DO
	1204 E Fire Tower Rd, Greenville, NC 27858-4196
	(252) 744-1122
	(252) 744-1133

Map and Direction

Physician's Profile

Full Name	Dr Sean Carl Vidulich
Gender	Male
Speciality	Family Practice
Experience	9 Years
Location	1204 E Fire Tower Rd, Greenville, North Carolina
Accepts Medicare Assignments	Yes. 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 Sean Carl Vidulich attended and graduated from West Virginia School Of Osteopathic Medicine in 2016

NPI Data:

NPI Number: 1053767749
Provider Enumeration Date: 05/11/2016
Last Update Date: 10/10/2025

Medicare PECOS Information:

PECOS PAC ID: 8921392820
Enrollment ID: I20200721003090

Medical Identifiers

Medical identifiers for Dr Sean Carl Vidulich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053767749	NPI	-	NPPES
029075	Other	CO	KAISER COMMERCIAL NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2019-01617 (North Carolina)	Primary
207Q00000X	Family Medicine	DR.0064081 (Colorado)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Colorado Permanente Medical Group Pc	1254238454	1122

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 Sean Carl Vidulich allows following entities to bill medicare on his behalf.

Entity Name	Colorado Permanente Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640

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 Sean Carl Vidulich 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
Dr Sean Carl Vidulich, DO Po Box 751069, Charlotte, NC 28275-1069 Ph: () -	Dr Sean Carl Vidulich, DO 1204 E Fire Tower Rd, Greenville, NC 27858-4196 Ph: (252) 744-1122

Reviews and Comments

Family Medicine Doctors in Greenville, NC

Dr. Giselle Devonne Blair, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 315 W 2nd St, Greenville, NC 27834 Phone: 252-507-0588 Fax: 855-937-0774
Dr. Emily L Bray, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Heart Dr, Greenville, NC 27834 Phone: 252-744-4611 Fax: 252-744-3201
Dr. Shivajirao Prakash Patil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Heart Dr, Greenville, NC 27834 Phone: 252-744-4611 Fax: 252-744-3040
Dr. Jessica Lee Zimmerman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Heart Dr, Greenville, NC 27834 Phone: 252-744-4611 Fax: 252-744-3201
Dr. Ashton Fox Johnson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-4757 Fax: 252-744-5014
Dr. Celeste T. Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1204 E Fire Tower Rd, Greenville, NC 27858 Phone: 252-744-1122 Fax: 252-744-1133

Dr Sean Carl Vidulich, DO - Medicare Family Practice in Greenville, NC