Jennifer J Fitzwater, LCSW is a medicare enrolled "Social Worker" provider in Richmond, Indiana. Her current practice location is
4265 S A St, Richmond, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 962-8843.
Jennifer J Fitzwater is licensed to practice in Indiana (license number 34011139A) 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 1942424304.
Healthcare Provider's Profile
Full Name | Jennifer J Fitzwater |
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Gender | Female |
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Speciality | Social Worker |
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Location | 4265 S A St, Richmond, Indiana |
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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: 1942424304
- Provider Enumeration Date: 04/13/2007
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608319660
- Enrollment ID: I20240618003018
Medical Identifiers
Medical identifiers for Jennifer J Fitzwater such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942424304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
104100000X | Social Worker | 34011139A (Indiana) | 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. Jennifer J Fitzwater allows following entities to bill medicare on her behalf.
Entity Name | Indiana University Health Ball Memorial Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
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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. Jennifer J Fitzwater 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 |
Jennifer J Fitzwater, LCSW 12166 W North St, Cambridge City, IN 47327-9400 Ph: () - | Jennifer J Fitzwater, LCSW 4265 S A St, Richmond, IN 47374-6049 Ph: (765) 962-8843 |
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