Jeremy Fitzgerald, in Charlotte, NC - Medicare Counselor Provider

Jeremy Fitzgerald, is a medicare enrolled "Counselor - Mental Health" provider in Charlotte, North Carolina. His current practice location is 2903 N Davidson St Ste 1021, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 798-2430.

Jeremy Fitzgerald is licensed to practice in North Carolina (license number 14872) 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 1790346021.

Contact Information

	Jeremy Fitzgerald,
	2903 N Davidson St Ste 1021, Charlotte, NC 28205-1097
	(704) 798-2430
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Fitzgerald
Gender	Male
Speciality	Counselor - Mental Health
Location	2903 N Davidson St Ste 1021, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790346021
Provider Enumeration Date: 06/26/2019
Last Update Date: 06/10/2022

Medicare PECOS Information:

PECOS PAC ID: 4385087741
Enrollment ID: I20240213002266

Medical Identifiers

Medical identifiers for Jeremy Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790346021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	14872 (North Carolina)	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. Jeremy Fitzgerald allows following entities to bill medicare on his behalf.

Entity Name	Carolina Outreach, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083723266 PECOS PAC ID: 0446449748 Enrollment ID: O20110118000335

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. Jeremy 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
Jeremy Fitzgerald, 2903 N Davidson St Ste 1021, Charlotte, NC 28205-1097 Ph: (704) 798-2430	Jeremy Fitzgerald, 2903 N Davidson St Ste 1021, Charlotte, NC 28205-1097 Ph: (704) 798-2430

Reviews and Comments

Counselor in Charlotte, NC

Dr. Jeff Randall Mishoe, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 East Blvd, C-8, Charlotte, NC 28203 Phone: 704-344-1100 Fax: 704-344-1100
Allegra Shonta Cooper, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 460, Charlotte, NC 28210 Phone: 980-302-8611 Fax: 980-302-8624
Meredith Garofalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 Chesterfield Ave, Charlotte, NC 28205 Phone: 773-263-6765
Reggie Moses, ST. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 East Blvd, Charlotte, NC 28203 Phone: 704-332-0081 Fax: 704-332-0085
Dr. Terri Lynn Tilford, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262 Phone: 980-689-4127
Emily Reiner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Yadkin Ave, Charlotte, NC 28205 Phone: 470-289-6301
Lindsey Yvette Donatien, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5200 Park Rd Ste 218b, Charlotte, NC 28209 Phone: 866-700-1606 Fax: 866-338-5921

Jeremy Fitzgerald, - Medicare Counselor in Charlotte, NC