Diana Lynn Fitzgerald, NP, CNM is a medicare enrolled "Midwife" in Cheshire, Connecticut. Her current practice location is
675 S Main St, Cheshire, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 272-1811.
Diana Lynn Fitzgerald is licensed to practice in Connecticut (license number 000518) 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 1912916792.
Provider's Profile
| Full Name | Diana Lynn Fitzgerald |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 675 S Main St, Cheshire, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912916792
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 08/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739334756
- Enrollment ID: I20220815002258
Medical Identifiers
Medical identifiers for Diana Lynn Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912916792 | NPI | - | NPPES |
| 02806357 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 483641-1 (New York) | Secondary |
| 363L00000X | Nurse Practitioner | 420822 (New York) | Secondary |
| 367A00000X | Advanced Practice Midwife | 28-001237 (New York) | Secondary |
| 367A00000X | Advanced Practice Midwife | F001237 (New York) | Secondary |
| 176B00000X | Midwife | 000518 (Connecticut) | 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. Diana Lynn Fitzgerald allows following entities to bill medicare on her behalf.
| Entity Name | Yale University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015 |
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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. Diana Lynn 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 |
|---|
Diana Lynn Fitzgerald, NP, CNM
675 S Main St,
Cheshire, CT 06410-3153
Ph: (203) 272-1811 | Diana Lynn Fitzgerald, NP, CNM
675 S Main St,
Cheshire, CT 06410-3153
Ph: (203) 272-1811 |
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