Mrs Jennifer Lee Fitzgerald, MOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in Melbourne, Florida. Her current practice location is
3773 Stream Dr, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 246-8939.
Mrs Jennifer Lee Fitzgerald is licensed to practice in Florida (license number OT 10000) 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 1124288188.
Healthcare Provider's Profile
Full Name | Mrs Jennifer Lee Fitzgerald |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 3773 Stream Dr, Melbourne, Florida |
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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: 1124288188
- Provider Enumeration Date: 06/12/2008
- Last Update Date: 07/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 1355388281
- Enrollment ID: I20211228000757
Medical Identifiers
Medical identifiers for Mrs Jennifer Lee Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124288188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA 21996 (Florida) | Secondary |
225X00000X | Occupational Therapist | OT 10000 (Florida) | 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. Mrs Jennifer Lee Fitzgerald allows following entities to bill medicare on her behalf.
Provider Name | Yacavone Home Therapy, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1699725887 PECOS PAC ID: 8628015559 Enrollment ID: O20211122002268 |
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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. Mrs Jennifer Lee 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 |
Mrs Jennifer Lee Fitzgerald, MOT, OTR/L 3773 Stream Dr, Melbourne, FL 32940-1102 Ph: (321) 246-8939 | Mrs Jennifer Lee Fitzgerald, MOT, OTR/L 3773 Stream Dr, Melbourne, FL 32940 Ph: (321) 246-8939 |
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