Dr Timothy Fitzgerald, DO is a medicare enrolled "General Practice" physician in Marana, Arizona. His current practice location is
13395 N Marana Main St, Marana, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 682-4111.
Dr Timothy Fitzgerald is licensed to practice in Arizona (license number 2471) 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 1811964836.
Physician's Profile
Full Name | Dr Timothy Fitzgerald |
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Gender | Male |
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Speciality | General Practice |
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Location | 13395 N Marana Main St, Marana, 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: 1811964836
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 08/24/2016
Medicare PECOS Information:
- PECOS PAC ID: 9032182076
- Enrollment ID: I20160804001945
Medical Identifiers
Medical identifiers for Dr Timothy Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811964836 | NPI | - | NPPES |
285404 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0320000477 (Vermont) | Secondary |
208D00000X | General Practice | 2471 (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. Dr Timothy Fitzgerald allows following entities to bill medicare on his behalf.
Entity Name | El Rio Santa Cruz Neighborhood Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487602736 PECOS PAC ID: 6305739244 Enrollment ID: O20040205000098 |
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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. Dr Timothy 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 |
Dr Timothy Fitzgerald, DO Po Box 188, Marana, AZ 85653-0188 Ph: (520) 682-4111 | Dr Timothy Fitzgerald, DO 13395 N Marana Main St, Marana, AZ 85653-7008 Ph: (520) 682-4111 |
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