Gwenn Maria Vittimberga, MD is a medicare enrolled "Dermatology" physician in Bristol, Rhode Island. Her current practice location is
1180 Hope St, Bristol, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 253-8900.
Gwenn Maria Vittimberga is licensed to practice in Rhode Island (license number MD 7158) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891796702.
Physician's Profile
| Full Name | Gwenn Maria Vittimberga |
|---|
| Gender | Female |
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| Speciality | Dermatology |
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| Location | 1180 Hope St, Bristol, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891796702
- Provider Enumeration Date: 08/02/2005
- Last Update Date: 01/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 9032289418
- Enrollment ID: I20080529000045
Medical Identifiers
Medical identifiers for Gwenn Maria Vittimberga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891796702 | NPI | - | NPPES |
| 03-00134 | Other | RI | UNITED HEALTH CARE |
| 201972 | Other | RI | BCHIP |
| 401452 | Other | RI | HARVARD PILGRIM HEALTH |
| 007158 | Other | RI | TUFTS |
| 20074-3 | Other | RI | B/S |
| 3804 | Other | RI | NEIGHBORHOOD HEALTH |
| 9020074 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | MD 7158 (Rhode Island) | Primary |
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. Gwenn Maria Vittimberga allows following entities to bill medicare on her behalf.
| Entity Name | Medical Associates Of Ri, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538161161
PECOS PAC ID: 3375432040
Enrollment ID: O20040311000761 |
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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. Gwenn Maria Vittimberga 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 |
|---|
Gwenn Maria Vittimberga, MD
1180 Hope St,
Bristol, RI 02809-1126
Ph: (401) 253-8900 | Gwenn Maria Vittimberga, MD
1180 Hope St,
Bristol, RI 02809-1126
Ph: (401) 253-8900 |
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