Jessica Fitzsimmons-wallace, RD, LD in Duluth, MN - Medicare Dietitian, Registered Provider

Jessica Fitzsimmons-wallace, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Duluth, Minnesota. Her current practice location is 915 E 1st St, Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 249-5555.

Jessica Fitzsimmons-wallace is licensed to practice in Minnesota (license number 3036) 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 1487089199.

Contact Information

	Jessica Fitzsimmons-wallace, RD, LD
	915 E 1st St, Duluth, MN 55805-2107
	(218) 249-5555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Fitzsimmons-wallace
Gender	Female
Speciality	Dietitian, Registered
Location	915 E 1st St, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487089199
Provider Enumeration Date: 09/12/2013
Last Update Date: 09/12/2013

Medicare PECOS Information:

PECOS PAC ID: 0749595627
Enrollment ID: I20150821012710

Medical Identifiers

Medical identifiers for Jessica Fitzsimmons-wallace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487089199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3036 (Minnesota)	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. Jessica Fitzsimmons-wallace allows following entities to bill medicare on her behalf.

Provider Name	St Lukes Hospital Of Duluth
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212

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. Jessica Fitzsimmons-wallace 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
Jessica Fitzsimmons-wallace, RD, LD 915 E 1st St, Duluth, MN 55805-2107 Ph: (218) 249-5555	Jessica Fitzsimmons-wallace, RD, LD 915 E 1st St, Duluth, MN 55805-2107 Ph: (218) 249-5555

Reviews and Comments

Dietitian, Registered in Duluth, MN

Rachelle Goebel, Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555
Sarah Ann Stock, Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555
Melanie Joy Henrickson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3805 W Arrowhead Rd, Duluth, MN 55811 Phone: 218-340-7248
Jill Ann Mahan, RD Dietitian Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, 400 East Third Street, Duluth, MN 55805 Phone: 218-786-8364
Laura Ann Pietig, RD/LD Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5231
Brenda Marie Schwerdt, Dietitian Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555
Kaia Chamberlain, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-2470 Fax: 218-249-2401

Jessica Fitzsimmons-wallace, RD, LD - Medicare Dietitian in Duluth, MN