Gregory John Vitale, PSYD in Orlando, FL - Medicare Psychologist Provider

Gregory John Vitale, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Orlando, Florida. His current practice location is 14 W Gore St, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 841-5725.

Gregory John Vitale is licensed to practice in Florida (license number PY12373) 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 1194454660.

Contact Information

	Gregory John Vitale, PSYD
	14 W Gore St, Orlando, FL 32806-1114
	(321) 841-5725
	(321) 843-1635

Map and Direction

Healthcare Provider's Profile

Full Name	Gregory John Vitale
Gender	Male
Speciality	Psychologist - Clinical
Location	14 W Gore St, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194454660
Provider Enumeration Date: 06/08/2022
Last Update Date: 02/26/2026

Medicare PECOS Information:

PECOS PAC ID: 2961884226
Enrollment ID: I20220803000147

Medical Identifiers

Medical identifiers for Gregory John Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194454660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY12373 (Florida)	Primary
103G00000X	Clinical Neuropsychologist	0810007797 (Virginia)	Secondary

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. Gregory John Vitale allows following entities to bill medicare on his behalf.

Entity Name	Privia Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298

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. Gregory John Vitale 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
Gregory John Vitale, PSYD 14 W Gore St, Orlando, FL 32806-1114 Ph: (321) 841-5725	Gregory John Vitale, PSYD 14 W Gore St, Orlando, FL 32806-1114 Ph: (321) 841-5725

Reviews and Comments

Psychologist in Orlando, FL

Dr. Kimberly Ann Kirkpatrick Justice, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1483 Lake Baldwin Ln, Suite A, Orlando, FL 32814 Phone: 321-422-0145 Fax: 949-266-1670
Dr. Timothy Eugene Spruill, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7975 Lake Underhill Rd, Suite 210, Orlando, FL 32822 Phone: 407-303-6830 Fax: 407-303-8659
Eric Scott Wiener, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7353 W Sand Lake Rd, Suite 202, Orlando, FL 32819 Phone: 407-352-1155
Dr. Carmen C Capella, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1400 N Semoran Blvd Ste E, Orlando, FL 32807 Phone: 407-823-8421 Fax: 407-823-8195
Idalee Melendez, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4011 Andover Cay Blvd, Orlando, FL 32825 Phone: 407-346-8182
Dr. Manuel Jesus Herrera Legon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13800 Veterans Way, Orlando, FL 32827 Phone: 407-538-2268
Dena Marie Rasul, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4567 Chalfont Dr, Orlando, FL 32837 Phone: 407-900-4697

Gregory John Vitale, PSYD - Medicare Psychologist in Orlando, FL