| Nicholas A Vitale, PA | |
|
123 Summer St Ste 521, Worcester, MA 01608-1216 | |
| (508) 852-0600 | |
| (508) 368-3146 |
| Full Name | Nicholas A Vitale |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 123 Summer St Ste 521, Worcester, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801396262 | NPI | - | NPPES |
| 11014179A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA6556 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sturdy Memorial Hospital | Attleboro, MA | Hospital |
| Boston Medical Center-south | Brockton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sturdy Health Inc | 9537152806 | 191 |
| Bmc Affiliated Physicians, Inc. | 9830133123 | 543 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Entity Name | Reliant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Entity Name | Sturdy Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063866176 PECOS PAC ID: 9537152806 Enrollment ID: O20160811001583 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas A Vitale, PA 123 Summer St Ste 521, Worcester, MA 01608-1216 Ph: (508) 852-0600 | Nicholas A Vitale, PA 123 Summer St Ste 521, Worcester, MA 01608-1216 Ph: (508) 852-0600 |
Mark Manzo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 210 Park Ave Ste 163, Worcester, MA 01609 Phone: 508-752-0843 |
Helen Copsey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-8585 Fax: 508-334-4799 |
Daniel J Zinkus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552 Fax: 774-441-6086 |
Rachel Noone, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 281 Lincoln St, Worcester, MA 01605 Phone: 508-334-6158 |
Michaella Elizabeth Marzullo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St Ste 521s, Worcester, MA 01608 Phone: 508-852-0600 Fax: 508-368-3146 |
Ms. Dukilda Hasanllari, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 19 Foster St, Worcester, MA 01608 Phone: 508-373-5607 |
Marie L Gut, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Orthopedics, Worcester, MA 01655 Phone: 508-334-2372 Fax: 508-334-3408 |