Patrick L Fitzgibbons, MD | |
101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | |
(714) 446-7505 | |
(714) 446-7546 |
Full Name | Patrick L Fitzgibbons |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 43 Years |
Location | 101 E Valencia Mesa Dr, Fullerton, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568415743 | NPI | - | NPPES |
00G483870 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | G48387 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G48387 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Pathology Group Inc | 5698839637 | 6 |
Entity Name | The Pathology Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316196892 PECOS PAC ID: 5698839637 Enrollment ID: O20090205000474 |
Mailing Address | Practice Location Address |
---|---|
Patrick L Fitzgibbons, MD Po Box 749241, Los Angeles, CA 90074-9241 Ph: (714) 446-7505 | Patrick L Fitzgibbons, MD 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 Ph: (714) 446-7505 |
Howard Friedberg, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E Valencia Mesa Dr., Fullerton, CA 92635 Phone: 714-992-3712 Fax: 714-992-3055 | |
Shirin M. Farahmand, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 E. Valencia Mesa Dr., Fullerton, CA 92635 Phone: 714-992-3148 Fax: 714-992-3055 | |
Cynthia N. Miller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valencia Mesa Drive, Fullerton, CA 92635 Phone: 714-992-3760 Fax: 714-992-3055 | |
Mark Boonyasampant, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 510-388-7271 Fax: 714-446-7546 | |
John R. Craig, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valenica Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3757 Fax: 714-992-3055 | |
Jay Packer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valencia Mesa Drive, Pathology Dept, Fullerton, CA 92835 Phone: 714-992-3907 Fax: 714-992-3055 |