Samantha Fitz-gerald, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Clarks Summit, Pennsylvania. She graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Tiffany Griffiths Psy D And Associates Inc and her current practice location is
406 N State St, Clarks Summit, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 983-2863.
Samantha Fitz-gerald is licensed to practice in Pennsylvania (license number PS018940) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821516915.
Healthcare Provider's Profile
| Full Name | Samantha Fitz-gerald |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 8 Years |
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| Location | 406 N State St, Clarks Summit, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Fitz-gerald graduated from medical school in 2017
NPI Data:
- NPI Number: 1821516915
- Provider Enumeration Date: 09/08/2017
- Last Update Date: 01/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 1850711326
- Enrollment ID: I20201022000157
Medical Identifiers
Medical identifiers for Samantha Fitz-gerald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821516915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS018940 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tiffany Griffiths Psy D And Associates Inc | 5496907776 | 12 |
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. Samantha Fitz-gerald allows following entities to bill medicare on her behalf.
| Entity Name | Tiffany Griffiths Psy D & Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649507831
PECOS PAC ID: 5496907776
Enrollment ID: O20121213000057 |
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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. Samantha Fitz-gerald 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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Samantha Fitz-gerald, PSYD
502 N Blakely St,
Dunmore, PA 18512-1943
Ph: () - | Samantha Fitz-gerald, PSYD
406 N State St,
Clarks Summit, PA 18411-1062
Ph: (570) 983-2863 |
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