Nicole Marie Fitzgerald, AGPCNP-BC is a medicare enrolled "Nurse Practitioner" in Sussex, New Jersey. Her current practice location is
42 Edsall Dr, Sussex, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 222-7767.
Nicole Marie Fitzgerald is licensed to practice in New Jersey (license number 26NJ01399600) 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 1417667528.
Provider's Profile
Full Name | Nicole Marie Fitzgerald |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 42 Edsall Dr, Sussex, New Jersey |
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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: 1417667528
- Provider Enumeration Date: 11/29/2022
- Last Update Date: 11/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294177697
- Enrollment ID: I20240530004129
Medical Identifiers
Medical identifiers for Nicole Marie Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417667528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 26NJ01399600 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Marie Fitzgerald allows following entities to bill medicare on her behalf.
Entity Name | St Josephs Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
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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. Nicole Marie 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 |
Nicole Marie Fitzgerald, AGPCNP-BC 42 Edsall Dr, Sussex, NJ 07461-4534 Ph: () - | Nicole Marie Fitzgerald, AGPCNP-BC 42 Edsall Dr, Sussex, NJ 07461-4534 Ph: (973) 222-7767 |
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