Mary Theresa Fitzgerald, LMFT in Philadelphia, PA - Medicare Marriage & Family Therapist Provider

Mary Theresa Fitzgerald, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Philadelphia, Pennsylvania. Her current practice location is 6060 Ridge Ave Ste 210, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 290-2634.

Mary Theresa Fitzgerald is licensed to practice in Pennsylvania (license number MF001385) 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 1154078640.

Contact Information

	Mary Theresa Fitzgerald, LMFT
	6060 Ridge Ave Ste 210, Philadelphia, PA 19128-1660
	(215) 290-2634
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Theresa Fitzgerald
Gender	Female
Speciality	Marriage & Family Therapist
Location	6060 Ridge Ave Ste 210, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154078640
Provider Enumeration Date: 03/04/2022
Last Update Date: 03/04/2022

Medicare PECOS Information:

PECOS PAC ID: 4880042746
Enrollment ID: I20231204000313

Medical Identifiers

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

Identifier	Type	State	Issuer
1154078640	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MF001385 (Pennsylvania)	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. Mary Theresa Fitzgerald allows following entities to bill medicare on her behalf.

Entity Name	Philmont Guidance Center, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972555605 PECOS PAC ID: 5395641518 Enrollment ID: O20031209000759

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. Mary Theresa 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
Mary Theresa Fitzgerald, LMFT 6060 Ridge Ave Ste 210, Philadelphia, PA 19128-1660 Ph: (215) 290-2634	Mary Theresa Fitzgerald, LMFT 6060 Ridge Ave Ste 210, Philadelphia, PA 19128-1660 Ph: (215) 290-2634

Reviews and Comments

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Mary Theresa Fitzgerald, LMFT - Medicare Couples Therapy in Philadelphia, PA