Jacqueline Fitzgerald, is a
Nurse Practitioner based in Chalmers, Indiana. Jacqueline Fitzgerald is licensed to practice in Indiana (license number F10241117) and her current practice location is
5226 S 75 W, Chalmers, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 607-0958.
NPI number for Jacqueline Fitzgerald is 1891501367 and her current mailing address is 5226 S 75 W, Chalmers, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891501367.
Provider's Profile
Full Name | Jacqueline Fitzgerald |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 5226 S 75 W, Chalmers, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891501367
- Provider Enumeration Date: 12/09/2024
- Last Update Date: 12/09/2024
Medical Identifiers
Medical identifiers for Jacqueline Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891501367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | F10241117 (Indiana) | 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. Jacqueline Fitzgerald is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacqueline Fitzgerald, 5226 S 75 W, Chalmers, IN 47929-8094 Ph: (765) 607-0958 | Jacqueline Fitzgerald, 5226 S 75 W, Chalmers, IN 47929-8094 Ph: (765) 607-0958 |
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