Dr Paul Joseph Fitzgerald, PSYD, LCPC is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. His current practice location is
401 S La Salle St, Suite 1600-p, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 337-6936.
Dr Paul Joseph Fitzgerald is licensed to practice in Illinois (license number 071-008816) 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 1104949585.
Healthcare Provider's Profile
Full Name | Dr Paul Joseph Fitzgerald |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 401 S La Salle St, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104949585
- Provider Enumeration Date: 04/09/2007
- Last Update Date: 05/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 3274853981
- Enrollment ID: I20150520002343
Medical Identifiers
Medical identifiers for Dr Paul Joseph Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104949585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 180-001119 (Illinois) | Secondary |
103TC0700X | Psychologist - Clinical | 071-008816 (Illinois) | 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. Dr Paul Joseph 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 |
Dr Paul Joseph Fitzgerald, PSYD, LCPC 8031 42nd St, Lyons, IL 60534-1101 Ph: (708) 337-6936 | Dr Paul Joseph Fitzgerald, PSYD, LCPC 401 S La Salle St, Suite 1600-p, Chicago, IL 60605-1014 Ph: (708) 337-6936 |
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