| Mrs Erin Gardner Vitale, RN, BSN | |
|
3535 Southern Blvd, Kettering, OH 45429-1221 | |
| (937) 395-6665 | |
| (937) 395-6668 |
| Full Name | Mrs Erin Gardner Vitale |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 3535 Southern Blvd, Kettering, Ohio |
| 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 |
|---|---|---|---|
| 1639599277 | NPI | - | NPPES |
| 0107049 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | RN356439 (Ohio) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.16273 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Health Specialists Inc | 5597708594 | 471 |
| Sinclair Physician Services, Llc | 9830536911 | 174 |
| Entity Name | Mvhe Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659504785 PECOS PAC ID: 9537066584 Enrollment ID: O20031217000553 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Entity Name | Sinclair Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063289601 PECOS PAC ID: 9830536911 Enrollment ID: O20240325002978 |
| Entity Name | Hisey Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073380614 PECOS PAC ID: 8426495292 Enrollment ID: O20240328002362 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Erin Gardner Vitale, RN, BSN 1 Wyoming St, Dayton, OH 45409-2722 Ph: (937) 208-8394 | Mrs Erin Gardner Vitale, RN, BSN 3535 Southern Blvd, Kettering, OH 45429-1221 Ph: (937) 395-6665 |
Holli N Kroger, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5450 Far Hills Ave, Kettering, OH 45429 Phone: 937-436-2866 Fax: 937-436-1468 | |
Ms. Noriko Tsuchihashi Banerjee, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429 Phone: 937-222-3118 Fax: 937-222-1436 | |
Erica Lee Ertel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 201, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3992 | |
Lashauna Hall, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 Fax: 937-643-2343 | |
Mrs. Erika Vanwyck Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2115 E Dorothy Ln, Kettering, OH 45420 Phone: 937-610-9174 | |
Ms. Danyell Margioras, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 300, Kettering, OH 45429 Phone: 937-643-9299 | |
Stephanie Lynn Henry, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8166 |