Mrs Mary G Fitzgerald, ANP is a
Nurse Practitioner - Pediatrics based in Berkeley, Missouri. Mrs Mary G Fitzgerald is licensed to practice in Missouri (license number 065417) and her current practice location is
6121 N Hanley Rd, Berkeley, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 615-0600.
NPI number for Mrs Mary G Fitzgerald is 1033224472 and her current mailing address is 6121 N Hanley Rd, Berkeley, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033224472.
Provider's Profile
Full Name | Mrs Mary G Fitzgerald |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 6121 N Hanley Rd, Berkeley, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033224472
- Provider Enumeration Date: 08/19/2006
- Last Update Date: 09/25/2012
Medical Identifiers
Medical identifiers for Mrs Mary G Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033224472 | NPI | - | NPPES |
425013323 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | 065417 (Missouri) | 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. Mrs Mary G 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 |
Mrs Mary G Fitzgerald, ANP 6121 N Hanley Rd, Berkeley, MO 63134-2003 Ph: (314) 615-0600 | Mrs Mary G Fitzgerald, ANP 6121 N Hanley Rd, Berkeley, MO 63134-2003 Ph: (314) 615-0600 |
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