Mary Antionette Fitzsimons, MD in Antioch, CA

Mary Antionette Fitzsimons, MD is a medicare enrolled "Emergency Medicine" physician in Antioch, California. Her current practice location is 3901 Lone Tree Way, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 779-7273.

Mary Antionette Fitzsimons is licensed to practice in California (license number G56339) 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 1053330431.

Contact Information

	Mary Antionette Fitzsimons, MD
	3901 Lone Tree Way, Antioch, CA 94509-6200
	(925) 779-7273
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary Antionette Fitzsimons
Gender	Female
Speciality	Emergency Medicine
Location	3901 Lone Tree Way, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053330431
Provider Enumeration Date: 07/18/2006
Last Update Date: 10/24/2007

Medicare PECOS Information:

PECOS PAC ID: 8426961319
Enrollment ID: I20080508000340

Medical Identifiers

Medical identifiers for Mary Antionette Fitzsimons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053330431	NPI	-	NPPES
00G563390	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	G56339 (California)	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 Antionette Fitzsimons allows following entities to bill medicare on her behalf.

Entity Name	Cep America - California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520

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 Antionette Fitzsimons 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 Antionette Fitzsimons, MD 2100 Powell St, Ste 900, Emeryville, CA 94608-1826 Ph: (510) 350-2600	Mary Antionette Fitzsimons, MD 3901 Lone Tree Way, Antioch, CA 94509-6200 Ph: (925) 779-7273

Reviews and Comments

Emergency Medicine Doctors in Antioch, CA

Kathleen A Regacho, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-3522
Khanh D Nguyen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 510-350-2657
Raj V. Dasari, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Ivan S. Cavaliere, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Russell Gerald Rodriguez, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273
Susan Woodmansee, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-779-7273

Mary Antionette Fitzsimons, MD - Medicare Emergency Medicine in Antioch, CA