Dr Colleen Concannon Vitale, MD - Medicare Pediatrics in Cranston, RI

Dr Colleen Concannon Vitale, MD is a medicare enrolled "Pediatrics" physician in Cranston, Rhode Island. Her current practice location is 1145 Reservoir Ave, Cranston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 943-7337.

Dr Colleen Concannon Vitale is licensed to practice in Rhode Island (license number 12102) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396782223.

Contact Information

Dr Colleen Concannon Vitale, MD
1145 Reservoir Ave,
Cranston, RI 02920-6055
(401) 943-7337
Not Available



Physician's Profile

Full NameDr Colleen Concannon Vitale
GenderFemale
SpecialityPediatrics
Location1145 Reservoir Ave, Cranston, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396782223
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 08/06/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2466631858
  • Enrollment ID: I20110208000889

Medical Identifiers

Medical identifiers for Dr Colleen Concannon Vitale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396782223NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 12102 (Rhode Island)Primary

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. Dr Colleen Concannon Vitale allows following entities to bill medicare on her behalf.
Entity NameDrs. Concannon & Vitale, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366402018
PECOS PAC ID: 2567641954
Enrollment ID: O20110201000741

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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. Dr Colleen Concannon 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 AddressPractice Location Address
Dr Colleen Concannon Vitale, MD
1145 Reservoir Ave,
Cranston, RI 02920-6055

Ph: (401) 943-7337
Dr Colleen Concannon Vitale, MD
1145 Reservoir Ave,
Cranston, RI 02920-6055

Ph: (401) 943-7337

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Researchers from Mount Sinai School of Medicine have for the first time used several imaging techniques to prove the efficacy of a promising new treatment for atherosclerosis—the build-up of plaque in artery walls that can lead to a heart attack.

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Pediatrics Doctors in Cranston, RI

Dr. James Roy Bonner, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1150 Reservoir Ave, Suite 205, Cranston, RI 02920
Phone: 401-943-9222    Fax: 401-943-9290
Dr. Carine M Leconte, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1150 Reservoir Ave, Suite 205, Cranston, RI 02920
Phone: 401-943-9222    Fax: 401-943-9290
Dr. Cecile Ibrahim, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 11 Magazine St, Cranston, RI 02920
Phone: 401-943-2925    
Richard K Ohnmacht, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1145 Reservoir Ave, Suite 210, Cranston, RI 02920
Phone: 401-946-1944    Fax: 401-946-2340
Dr. Rick Manuel Quiles, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 801 Park Ave, Cranston, RI 02910
Phone: 401-274-6575    
Marvin S Wasser, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 496 Pontiac Ave, Cranston, RI 02910
Phone: 401-461-2150    

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