John Lanell Fitzpatrick, AAC, CPC is a
Peer Specialist based in Longview, Washington. John Lanell Fitzpatrick is licensed to practice in Washington (license number CG61163067) and his current practice location is
1408 12th Ave, Longview, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 998-3050.
NPI number for John Lanell Fitzpatrick is 1861086241 and his current mailing address is Po Box 2394, Longview, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861086241.
Healthcare Provider's Profile
| Full Name | John Lanell Fitzpatrick |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1408 12th Ave, Longview, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861086241
- Provider Enumeration Date: 02/25/2021
- Last Update Date: 01/06/2022
Medical Identifiers
Medical identifiers for John Lanell Fitzpatrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861086241 | NPI | - | NPPES |
| 2176426 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (Washington) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Washington) | Secondary |
| 175T00000X | Peer Specialist | CG61163067 (Washington) | 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. John Lanell Fitzpatrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Lanell Fitzpatrick, AAC, CPC
Po Box 2394,
Longview, WA 98632-8455
Ph: (360) 200-5419 | John Lanell Fitzpatrick, AAC, CPC
1408 12th Ave,
Longview, WA 98632-3822
Ph: (360) 998-3050 |
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