Jessica Fitzgerald, MS, CCC-SLP is a
Speech-language Pathologist based in Lake Winnebago, Missouri. Jessica Fitzgerald is licensed to practice in Missouri (license number 2012012466) and her current practice location is
294 N Winnebago Dr, Lake Winnebago, Missouri. She can be reached at her office (for appointments etc.) via phone at
(913) 709-1152.
NPI number for Jessica Fitzgerald is 1104214295 and her current mailing address is 294 N Winnebago Dr, Lake Winnebago, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104214295.
Healthcare Provider's Profile
Full Name | Jessica Fitzgerald |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 294 N Winnebago Dr, Lake Winnebago, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104214295
- Provider Enumeration Date: 12/26/2014
- Last Update Date: 01/10/2023
Medical Identifiers
Medical identifiers for Jessica Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104214295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 3209 (Kansas) | Secondary |
235Z00000X | Speech-language Pathologist | 16792 (Oregon) | Secondary |
235Z00000X | Speech-language Pathologist | 2012012466 (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. Jessica 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 |
Jessica Fitzgerald, MS, CCC-SLP 294 N Winnebago Dr, Lake Winnebago, MO 64034-9319 Ph: () - | Jessica Fitzgerald, MS, CCC-SLP 294 N Winnebago Dr, Lake Winnebago, MO 64034-9319 Ph: (913) 709-1152 |
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