Dr Pam Dell Fitzgerald, PHD is a medicare enrolled "Psychologist - Clinical" provider in Vashon, Washington. Her current practice location is
12205 Sw Cove Rd, Vashon, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 387-2933.
Dr Pam Dell Fitzgerald is licensed to practice in Washington (license number PY00003830) 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 1568012508.
Healthcare Provider's Profile
Full Name | Dr Pam Dell Fitzgerald |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 12205 Sw Cove Rd, Vashon, Washington |
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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: 1568012508
- Provider Enumeration Date: 09/11/2019
- Last Update Date: 09/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335572213
- Enrollment ID: I20191206001505
Medical Identifiers
Medical identifiers for Dr Pam Dell Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568012508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY00003830 (Washington) | 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. Dr Pam Dell Fitzgerald allows following entities to bill medicare on her behalf.
Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
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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. Dr Pam Dell 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 |
Dr Pam Dell Fitzgerald, PHD Po Box 2157, Vashon, WA 98070-2157 Ph: (206) 463-1389 | Dr Pam Dell Fitzgerald, PHD 12205 Sw Cove Rd, Vashon, WA 98070-3702 Ph: (206) 387-2933 |
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