| Vitel Health Physician Services Cooperative | |
|
4 Embarcadero Ctr Ste 1400 San Francisco CA 94111-4164 | |
| (916) 716-8874 | |
| Not Available |
| Full Name | Vitel Health Physician Services Cooperative |
|---|---|
| Speciality | General Practice |
| Location | 4 Embarcadero Ctr Ste 1400, San Francisco, California |
| Authorized Official Name and Position | Brittany Busse (CEO) |
| Authorized Official Contact | 9167168874 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitel Health Physician Services Cooperative 3837 Amelia Rose Way Sacramento CA 95834-4019 Ph: (916) 716-8874 | Vitel Health Physician Services Cooperative 4 Embarcadero Ctr Ste 1400 San Francisco CA 94111-4164 Ph: (916) 716-8874 |
| NPI Number | 1922869981 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/17/2024 |
| Medicare PECOS PAC ID | 2062941495 |
|---|---|
| Medicare Enrollment ID | O20250129002521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922869981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Brittany K Busse |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063649275 PECOS PAC ID: 4183850985 Enrollment ID: I20131127001158 |
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