Amy Fitzgerald, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Tucson, Arizona. Her current practice location is
2442 E Blue Diamond Dr, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 414-5658.
Amy Fitzgerald is licensed to practice in Arizona (license number 238568) 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 1023641792.
Physician's Profile
Full Name | Amy Fitzgerald |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2442 E Blue Diamond Dr, Tucson, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023641792
- Provider Enumeration Date: 02/20/2020
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143659698
- Enrollment ID: I20200403000730
Medical Identifiers
Medical identifiers for Amy Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023641792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 238568 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | 238568 (Arizona) | 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. Amy Fitzgerald allows following entities to bill medicare on her behalf.
Entity Name | Arizona Community Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205871076 PECOS PAC ID: 4587560552 Enrollment ID: O20031210000500 |
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Entity Name | Dispatchhealth - Arizona |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922532944 PECOS PAC ID: 7810268422 Enrollment ID: O20170731003542 |
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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. Amy 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 |
Amy Fitzgerald, NP 2442 E Blue Diamond Dr, Tucson, AZ 85718-6691 Ph: (480) 414-5658 | Amy Fitzgerald, NP 2442 E Blue Diamond Dr, Tucson, AZ 85718-6691 Ph: (480) 414-5658 |
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