Mr John P Vicedomini, PHD in Seaford, NY - Medicare Psychologist Provider

Mr John P Vicedomini, PHD is a medicare enrolled "Psychologist - Clinical" provider in Seaford, New York. His current practice location is 1286 Shaw Pl, Seaford, New York. You can reach out to his office (for appointments etc.) via phone at (516) 221-2032.

Mr John P Vicedomini is licensed to practice in New York (license number 0129651) 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 1487630877.

Contact Information

	Mr John P Vicedomini, PHD
	1286 Shaw Pl, Seaford, NY 11783-1747
	(516) 221-2032
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John P Vicedomini
Gender	Male
Speciality	Psychologist - Clinical
Location	1286 Shaw Pl, Seaford, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487630877
Provider Enumeration Date: 12/19/2005
Last Update Date: 09/09/2011

Medicare PECOS Information:

PECOS PAC ID: 9133167810
Enrollment ID: I20050422000272

Medical Identifiers

Medical identifiers for Mr John P Vicedomini such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487630877	NPI	-	NPPES
01767748	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0129651 (New York)	Primary

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 John P Vicedomini 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 John P Vicedomini, PHD 1286 Shaw Pl, Seaford, NY 11783-1747 Ph: (516) 221-2032	Mr John P Vicedomini, PHD 1286 Shaw Pl, Seaford, NY 11783-1747 Ph: (516) 221-2032

Reviews and Comments

Psychologist in Seaford, NY

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Mr John P Vicedomini, PHD - Medicare Psychologist in Seaford, NY