Dr Douglas Stewart Fitzwater, MD - Medicare Pediatrics in Portageville, MO

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Dr Douglas Stewart Fitzwater, MD is a medicare enrolled "Pediatrics" physician in Portageville, Missouri. His current practice location is 204 E 3rd St, Portageville, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 379-5467.

Dr Douglas Stewart Fitzwater is licensed to practice in Missouri (license number R8N02) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619967106.

Contact Information

Dr Douglas Stewart Fitzwater, MD
204 E 3rd St,
Portageville, MO 63873-1402
(573) 379-5467
(573) 379-5671

Map and Direction




Physician's Profile

Full NameDr Douglas Stewart Fitzwater
GenderMale
SpecialityPediatrics
Location204 E 3rd St, Portageville, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619967106
  • Provider Enumeration Date: 10/26/2005
  • Last Update Date: 08/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2365349768
  • Enrollment ID: I20040915000253

Medical Identifiers

Medical identifiers for Dr Douglas Stewart Fitzwater such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619967106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0204XPediatrics - Pediatric Emergency Medicine R8N02 (Missouri)Secondary
208M00000XHospitalist R8N02 (Missouri)Secondary
208000000XPediatrics R8N02 (Missouri)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. Dr Douglas Stewart Fitzwater allows following entities to bill medicare on his behalf.
Entity NameMissouri Delta Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508967860
PECOS PAC ID: 1355252891
Enrollment ID: O20040308001306
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194765685
PECOS PAC ID: 9830008770
Enrollment ID: O20040607000287
Entity NamePemiscot County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578668661
PECOS PAC ID: 8426024159
Enrollment ID: O20070326000204

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. Dr Douglas Stewart Fitzwater 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 AddressPractice Location Address
Dr Douglas Stewart Fitzwater, MD
1008 N Main St,
Sikeston, MO 63801-5044

Ph: (573) 472-7406		Dr Douglas Stewart Fitzwater, MD
204 E 3rd St,
Portageville, MO 63873-1402

Ph: (573) 379-5467

Reviews and Comments


Pediatrics Doctors in Portageville, MO


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.