Vitality Medical Llc - Medicare Primary Care in Madison, IN

Vitality Medical Llc is a medicare enrolled primary clinic (General Practice) in Madison, Indiana. The current practice location for Vitality Medical Llc is 110 Holt Dr, Madison, Indiana. For appointments, you can reach them via phone at (812) 265-6141. The mailing address for Vitality Medical Llc is 110 Holt Dr, Madison, Indiana and phone number is (812) 265-6141.

Vitality Medical Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447984265. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 265-6141.

Contact Information

Vitality Medical Llc
110 Holt Dr
Madison
IN 47250-3873
(812) 265-6141
Not Available

Primary Care Clinic Profile

Full NameVitality Medical Llc
SpecialityGeneral Practice
Location110 Holt Dr, Madison, Indiana
Authorized Official Name and PositionJoshua Bronson (OWNER)
Authorized Official Contact6162040074
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vitality Medical Llc
110 Holt Dr
Madison
IN 47250-3873

Ph: (812) 265-6141
Vitality Medical Llc
110 Holt Dr
Madison
IN 47250-3873

Ph: (812) 265-6141

NPI Details:

NPI Number1447984265
Provider Enumeration Date07/16/2022
Last Update Date07/16/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6103294921
Medicare Enrollment IDO20221128002500

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Medical Identifiers

Medical identifiers for Vitality Medical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447984265NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Vitality Medical Llc acts as a billing entity for following providers:
Provider NameJoshua Lee Bronson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1932617370
PECOS PAC ID: 4880954361
Enrollment ID: I20180131002400

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Provider NamePatricia Brown-grayson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205348489
PECOS PAC ID: 2961836689
Enrollment ID: I20220426002978

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