Mr Joseph Andrew Vitagliano, PA-C is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Phoenix, Arizona. His current practice location is
1110 E Missouri Ave Ste 110, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 542-8202.
Mr Joseph Andrew Vitagliano is licensed to practice in Arizona (license number 5483) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003242447.
Provider's Profile
| Full Name | Mr Joseph Andrew Vitagliano |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1110 E Missouri Ave Ste 110, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003242447
- Provider Enumeration Date: 09/17/2013
- Last Update Date: 04/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375772577
- Enrollment ID: I20140211001023
Medical Identifiers
Medical identifiers for Mr Joseph Andrew Vitagliano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003242447 | NPI | - | NPPES |
| 1003242447 | Other | | PSYCHIATRY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 5483 (Arizona) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5483 (Arizona) | 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. Mr Joseph Andrew Vitagliano allows following entities to bill medicare on his behalf.
| Entity Name | North Valley Emergency Specialists |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285655209 PECOS PAC ID: 4284537416 Enrollment ID: O20040127000856 |
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| Entity Name | Emcare - Pnx Emergency Physicians LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902855992 PECOS PAC ID: 3779574165 Enrollment ID: O20040524000667 |
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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. Mr Joseph Andrew Vitagliano 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 |
Mr Joseph Andrew Vitagliano, PA-C 4279 E Tether Trl, Phoenix, AZ 85050-8949 Ph: (480) 212-6408 | Mr Joseph Andrew Vitagliano, PA-C 1110 E Missouri Ave Ste 110, Phoenix, AZ 85014-2703 Ph: (480) 542-8202 |
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