Shannon L Vitelli, DO in Collegeville, PA

Shannon L Vitelli, DO is a medicare enrolled "Pediatrics" physician in Collegeville, Pennsylvania. Her current practice location is 17 Iron Bridge Dr Ste 100, Collegeville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 622-6340.

Shannon L Vitelli is licensed to practice in Pennsylvania (license number OS011868) 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 1568404143.

Contact Information

	Shannon L Vitelli, DO
	17 Iron Bridge Dr Ste 100, Collegeville, PA 19426-2042
	(484) 622-6340
	(484) 622-6357

Map and Direction

Physician's Profile

Full Name	Shannon L Vitelli
Gender	Female
Speciality	Pediatrics
Location	17 Iron Bridge Dr Ste 100, Collegeville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568404143
Provider Enumeration Date: 06/11/2006
Last Update Date: 06/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3072915453
Enrollment ID: I20210707002862

Medical Identifiers

Medical identifiers for Shannon L Vitelli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568404143	NPI	-	NPPES
30010139	Other	PA	KEYSTONE MERCY
3373024	Other	PA	AETNA HMO
36156-OS011868	Other	PA	HEALTH PARTNERS
7402478	Other	PA	AETNA PPO
1523072	Other	PA	HIGHMARK BLUE SHIELD
2209467000	Other	PA	IBC - PC/KHPE
2209467000	Other	PA	AMERICHOICE/INTERCOUNTY
11212082	Other	PA	CAQH ID#
0019807030001	Other	PA	OMAP
9514702	Other	PA	CIGNA HMO/PPO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	OS011868 (Pennsylvania)	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. Shannon L Vitelli allows following entities to bill medicare on her behalf.

Entity Name	Fornance Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053363523 PECOS PAC ID: 8527962661 Enrollment ID: O20040216000037

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. Shannon L Vitelli 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
Shannon L Vitelli, DO 17 Iron Bridge Dr, Ste 100, Collegeville, PA 19426-2042 Ph: (610) 489-5782	Shannon L Vitelli, DO 17 Iron Bridge Dr Ste 100, Collegeville, PA 19426-2042 Ph: (484) 622-6340

Reviews and Comments

Pediatrics Doctors in Collegeville, PA

Dr. Nicole Kulisek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Arcola Rd, Collegeville, PA 19426 Phone: 646-942-6148
Elizabeth Ann Filler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3770 Ridge Pike, Collegeville, PA 19426 Phone: 484-832-8843
Dr. Peter Bulkeley Langmuir, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1250 S Collegeville Rd, Collegeville, PA 19426 Phone: 215-805-3112
Dr. Larissa F Dominy, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 409 Second Ave Ste 303, Collegeville, PA 19426 Phone: 610-409-8050 Fax: 610-409-8075
Dr. Perry D Nisen, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1250 S Collegeville Rd, Up1455, Collegeville, PA 19426 Phone: 610-917-6754 Fax: 610-917-4181
Dr. Gayathri Sudhakar Rao, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 599 Arcola Rd, Nemours Dupont Pediatrics, Collegeville, Collegeville, PA 19426 Phone: 302-651-6660 Fax: 302-651-5345

Shannon L Vitelli, DO - Medicare Pediatrics in Collegeville, PA