Jared Blaine Fitzgerald, AA | |
7 Independence Point Ste 300, Greenville, SC 29615-4569 | |
(864) 522-3700 | |
(864) 522-3705 |
Full Name | Jared Blaine Fitzgerald |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 6 Years |
Location | 7 Independence Point Ste 300, Greenville, South Carolina |
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 |
---|---|---|---|
1609357037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | AA459 (Florida) | Secondary |
367H00000X | Anesthesiologist Assistant | 67 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Oconee Memorial Hospital | Seneca, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
---|---|
Jared Blaine Fitzgerald, AA 300 E Mcbee Ave Fl4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Jared Blaine Fitzgerald, AA 7 Independence Point Ste 300, Greenville, SC 29615-4569 Ph: (864) 522-3700 |
Stephen Chas Goodwin, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Mr. Christopher Robert Brown, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Tyler K Childers, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-3076 | |
Taylor Douglas Vance, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-3076 Fax: 864-455-4135 | |
Allison Paige Hathaway, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Emily Allan, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Fl 4, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Daniel Ziebko, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 |