Vital Health LLC
A Medicare group practice based in Maumee, OH: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4486048634), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4486048634
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OH
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20220303002103 | OH | Part B Supplier - Clinic/Group Practice | 1952068843 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Vital Health LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Maumee, OH
- NPI 1952068843
-
Vital Health LLC
- Family Medicine Physician
- Maumee, OH
- NPI 1003551052
-
Vital Health LLC
- Community/Behavioral Health Agency
- Maumee, OH
- NPI 1619620937
Practice locations
- Maumee, OH1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (2).
-
Michaela Dewese, LISW
- Clinical Social Worker
- Maumee, OH
- NPI 1437811239
-
Steven B. Dood, M.D.
- Family Medicine Physician
- Perrysburg, OH
- NPI 1730140203
-
Nicole Foley, MSW/LISW-S
- Clinical Social Worker
- Maumee, OH
- NPI 1265805055
-
Alexis Starr Johnson, CNP,PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Maumee, OH
- NPI 1811795438
-
Andrew Masters
- Clinical Social Worker
- Toledo, OH
- NPI 1134633217
-
Matthew David Rizzo, LISW-S
- Clinical Social Worker
- Toledo, OH
- NPI 1295976363
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.