Mr Brendan H Fitzsimmons, MD is a medicare enrolled "Family Medicine" physician in Marbleton, Wyoming. He went to Creighton University School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Platte Valley Clinic Inc, Platte Valley Healthcare Project and his current practice location is
103 W 3rd St., Marbleton, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 276-3306.
Mr Brendan H Fitzsimmons is licensed to practice in Wyoming (license number 6031-A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912102989.
Physician's Profile
| Full Name | Mr Brendan H Fitzsimmons |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 30 Years |
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| Location | 103 W 3rd St., Marbleton, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Brendan H Fitzsimmons attended and graduated from Creighton University School Of Medicine in 1995
NPI Data:
- NPI Number: 1912102989
- Provider Enumeration Date: 06/19/2007
- Last Update Date: 11/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 3870649056
- Enrollment ID: I20090914000663
Medical Identifiers
Medical identifiers for Mr Brendan H Fitzsimmons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912102989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 6031-A (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Platte Valley Clinic Inc | 7517201437 | 3 |
| Platte Valley Healthcare Project | 9931513892 | 5 |
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. Mr Brendan H Fitzsimmons allows following entities to bill medicare on his behalf.
| Entity Name | North Big Horn Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750485793
PECOS PAC ID: 1456269869
Enrollment ID: O20040610001662 |
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| Entity Name | Platte Valley Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629557426
PECOS PAC ID: 7517201437
Enrollment ID: O20181204002586 |
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| Entity Name | Platte Valley Healthcare Project |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730899204
PECOS PAC ID: 9931513892
Enrollment ID: O20230522000378 |
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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. Mr Brendan H Fitzsimmons 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 |
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Mr Brendan H Fitzsimmons, MD
Po Box 787,
Big Piney, WY 83113-0787
Ph: (307) 276-3306 | Mr Brendan H Fitzsimmons, MD
103 W 3rd St.,
Marbleton, WY 83113
Ph: (307) 276-3306 |
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