Lisa J H Fitzgibbons, PHD in Bentonville, AR - Medicare Clinical Psychologist Provider

Lisa J H Fitzgibbons, PHD is a medicare enrolled "Psychologist - Clinical" provider in Bentonville, Arkansas. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mercy Health Northwest Arkansas Communities and her current practice location is 1003 Beau Terre Dr, Suite 203, Bentonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 271-8778.

Lisa J H Fitzgibbons is licensed to practice in Arkansas (license number 07-19P) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871637132.

Contact Information

	Lisa J H Fitzgibbons, PHD
	1003 Beau Terre Dr, Suite 203, Bentonville, AR 72712-6738
	(479) 271-8778
	(888) 207-6093

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa J H Fitzgibbons
Gender	Female
Speciality	Clinical Psychologist
Experience	28 Years
Location	1003 Beau Terre Dr, Bentonville, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa J H Fitzgibbons graduated from medical school in 1996

NPI Data:

NPI Number: 1871637132
Provider Enumeration Date: 02/19/2007
Last Update Date: 12/12/2018

Medicare PECOS Information:

PECOS PAC ID: 3971840349
Enrollment ID: I20190123001139

Medical Identifiers

Medical identifiers for Lisa J H Fitzgibbons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871637132	NPI	-	NPPES
07-19P	Other	AR	LICENSE
32121	Other	TX	LICENSE
894	Other	OK	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	894 (Oklahoma)	Secondary
103TC0700X	Psychologist - Clinical	32121 (Texas)	Secondary
103TC0700X	Psychologist - Clinical	07-19P (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health Northwest Arkansas Communities	0648177873	269

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. Lisa J H Fitzgibbons allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health Northwest Arkansas Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788

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. Lisa J H Fitzgibbons 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
Lisa J H Fitzgibbons, PHD Po Box 2449, Bentonville, AR 72712-2449 Ph: (479) 271-8778	Lisa J H Fitzgibbons, PHD 1003 Beau Terre Dr, Suite 203, Bentonville, AR 72712-6738 Ph: (479) 271-8778

Reviews and Comments

Psychologist in Bentonville, AR

Kamra Elizabeth Mays, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1720 S Walton Blvd Ste 6, Bentonville, AR 72712 Phone: 870-939-7606
Mary Jane Sonntag, PSYD PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1116 S Walton Blvd, Bentonville, AR 72712 Phone: 479-270-3302 Fax: 479-845-3946
Dr. Andrew Douglas Reichert, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3214 Nw Avignon Way, # 2, Bentonville, AR 72712 Phone: 979-575-4971
Mr. James William Luebben, MA LPE Psychologist Medicare: Medicare Enrolled Practice Location: 906 Nw 8th, Bentonville, AR 72712 Phone: 479-254-1144 Fax: 479-254-1099
Dr. Tanya D. Hough, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Se 22nd St, Suite 22, Bentonville, AR 72712 Phone: 479-254-6707 Fax: 479-254-6707
Angela Michelle Jones, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1003 Se 14th St Ste 4, Bentonville, AR 72712 Phone: 479-408-3200 Fax: 479-358-1430
Haden John Shepherd, LPE-I, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2003 Se Walton Blvd, Bentonville, AR 72712 Phone: 479-750-2020 Fax: 479-750-4843

Lisa J H Fitzgibbons, PHD - Medicare Psychologist in Bentonville, AR