Kathleen Jane Fitzgerald, FNP is a medicare enrolled "Nurse Practitioner - Family" in Deruyter, New York. Her current practice location is
5729 Rt 13, Deruyter, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 852-3318.
Kathleen Jane Fitzgerald is licensed to practice in New York (license number 330673) 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 1336145150.
Provider's Profile
Full Name | Kathleen Jane Fitzgerald |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 5729 Rt 13, Deruyter, New York |
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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: 1336145150
- Provider Enumeration Date: 06/27/2005
- Last Update Date: 11/29/2011
Medicare PECOS Information:
- PECOS PAC ID: 8426123449
- Enrollment ID: I20130521000471
Medical Identifiers
Medical identifiers for Kathleen Jane Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336145150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 369281-1 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 330673 (New York) | 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. Kathleen Jane 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 |
Kathleen Jane Fitzgerald, FNP 17 Main St, Suite 302, Cortland, NY 13045-6606 Ph: () - | Kathleen Jane Fitzgerald, FNP 5729 Rt 13, Deruyter, NY 13052 Ph: (315) 852-3318 |
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