Jacklyn M Fitzpatrick, GNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Christopher, Illinois. Her current practice location is
4241 State Highway 14, Christopher, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 724-2401.
Jacklyn M Fitzpatrick is licensed to practice in Illinois (license number 209012480) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558756205.
Provider's Profile
| Full Name | Jacklyn M Fitzpatrick |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 4241 State Highway 14, Christopher, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Jacklyn M Fitzpatrick attended and graduated from in
NPI Data:
- NPI Number: 1558756205
- Provider Enumeration Date: 03/31/2015
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jacklyn M Fitzpatrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558756205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209.012480 (Illinois) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 209.012480 (Illinois) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 209012480 (Illinois) | Primary |
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. Jacklyn M Fitzpatrick 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 |
|---|
Jacklyn M Fitzpatrick, GNP-C
Po Box 155,
Christopher, IL 62822-0155
Ph: (618) 724-1624 | Jacklyn M Fitzpatrick, GNP-C
4241 State Highway 14,
Christopher, IL 62822-1037
Ph: (618) 724-2401 |
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