Mrs Colette Jean Fitzpatrick, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hillsboro, Wisconsin. She graduated from nursing school in 1986 and has 38 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Ophthalmic Anesthesia Services, Radius Anesthesia Of New Mexico Llc and her current practice location is
518 Water Ave, Hillsboro, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 489-3473.
Mrs Colette Jean Fitzpatrick is licensed to practice in Wisconsin (license number 64121-030) 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 1558378018.
Provider's Profile
| Full Name | Mrs Colette Jean Fitzpatrick |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 38 Years |
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| Location | 518 Water Ave, Hillsboro, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Colette Jean Fitzpatrick graduated from nursing school in 1986
NPI Data:
- NPI Number: 1558378018
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 12/13/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698678506
- Enrollment ID: I20040507001227
Medical Identifiers
Medical identifiers for Mrs Colette Jean Fitzpatrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558378018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 64121-030 (Wisconsin) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 64121-030 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ophthalmic Anesthesia Services | 0941291991 | 13 |
| Radius Anesthesia Of New Mexico Llc | 1153672159 | 9 |
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. Mrs Colette Jean Fitzpatrick allows following entities to bill medicare on her behalf.
| Entity Name | Ophthalmic Anesthesia Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740295120
PECOS PAC ID: 0941291991
Enrollment ID: O20040519001234 |
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| Entity Name | Radius Anesthesia Of New Mexico Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376092403
PECOS PAC ID: 1153672159
Enrollment ID: O20181001000769 |
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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. Mrs Colette Jean Fitzpatrick 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 |
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Mrs Colette Jean Fitzpatrick, CRNA
518 Water Ave, Po Box 175,
Hillsboro, WI 54634-9049
Ph: (608) 489-3473 | Mrs Colette Jean Fitzpatrick, CRNA
518 Water Ave,
Hillsboro, WI 54634-9049
Ph: (608) 489-3473 |
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