Ms Erin Danielle Fitzgerald, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Everett, Washington. Her current practice location is
12800 Bothell Everett Hwy, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at
(254) 261-4210.
Ms Erin Danielle Fitzgerald is licensed to practice in Washington (license number AP61590066) 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 1558131250.
Healthcare Provider's Profile
| Full Name | Ms Erin Danielle Fitzgerald |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 12800 Bothell Everett Hwy, Everett, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558131250
- Provider Enumeration Date: 01/03/2024
- Last Update Date: 12/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133655947
- Enrollment ID: I20241203004526
Medical Identifiers
Medical identifiers for Ms Erin Danielle Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558131250 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | W61235857 (Washington) | Secondary |
| 163W00000X | Registered Nurse | RN61208751 (Washington) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61590066 (Washington) | 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. Ms Erin Danielle Fitzgerald allows following entities to bill medicare on her behalf.
| Entity Name | Providence Health & Services- Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124270715
PECOS PAC ID: 8325100480
Enrollment ID: O20081224000111 |
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| Entity Name | Providence Health & Services-wa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336390442
PECOS PAC ID: 0648330787
Enrollment ID: O20090106000737 |
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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. Ms Erin Danielle Fitzgerald 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 |
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Ms Erin Danielle Fitzgerald, ARNP
1959 Ne Pacific St,
Seattle, WA 98195-0001
Ph: () - | Ms Erin Danielle Fitzgerald, ARNP
12800 Bothell Everett Hwy,
Everett, WA 98208-6642
Ph: (254) 261-4210 |
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