| Patricia A Vitale, MD | |
|
168 E 5900 S, Suite C-104, Murray, UT 84107-7282 | |
| (801) 261-3007 | |
| (801) 263-6703 |
| Full Name | Patricia A Vitale |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 38 Years |
| Location | 168 E 5900 S, Murray, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558466177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0900X | Dermatology - Dermatopathology | 5228084-1205 (Utah) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Division University Of Utah Medical Center | 9638073497 | 69 |
| Entity Name | Dermatology Division University Of Utah Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922096114 PECOS PAC ID: 9638073497 Enrollment ID: O20031122000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Vitale, MD 168 E 5900 S, Suite C-104, Murray, UT 84107-7282 Ph: (801) 261-3007 | Patricia A Vitale, MD 168 E 5900 S, Suite C-104, Murray, UT 84107-7282 Ph: (801) 261-3007 |
Dr. Rebekah Hewett Clifford, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5323 S Woodrow St Ste 201, Murray, UT 84107 Phone: 801-965-3600 | |
Dr. Jamie Lynn Woodcock Rhoads, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6095 S Fashion Blvd, Murray, UT 84107 Phone: 801-581-2955 Fax: 801-581-6484 | |
Luke S Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 243 E 6100 S, Murray, UT 84107 Phone: 801-581-2955 | |
Dr. Jamie Zussman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6095 S Fashion Blvd, Murray, UT 84107 Phone: 801-581-2955 | |
Lacey Mae Lai, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 308 E 4500 S Ste 100, Murray, UT 84107 Phone: 385-533-8898 | |
Dr. Sancy A Leachman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 243 E 6100 S, Murray, UT 84107 Phone: 801-581-2955 Fax: 801-581-4911 | |
Breena Magleby Shepherd, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 243 E 6100 S, Murray, UT 84107 Phone: 801-581-2955 |