Dr Jarod John Fitzgerald, PHD is a medicare enrolled "Psychologist - Clinical" provider in Clarkston, Washington. His current practice location is
629 6th St, Clarkston, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 758-9698.
Dr Jarod John Fitzgerald is licensed to practice in Washington (license number PY3410) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477690576.
Healthcare Provider's Profile
Full Name | Dr Jarod John Fitzgerald |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 629 6th St, Clarkston, 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: 1477690576
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1557454733
- Enrollment ID: I20230417000872
Medical Identifiers
Medical identifiers for Dr Jarod John Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477690576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY3410 (Washington) | Primary |
103TC0700X | Psychologist - Clinical | PSY-202347 (Idaho) | Secondary |
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 Jarod John Fitzgerald allows following entities to bill medicare on his behalf.
Entity Name | Catalyst Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001188 |
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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 Jarod John 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 Jarod John Fitzgerald, PHD 2010 Nw Friel St, Pullman, WA 99163-3610 Ph: (509) 332-6070 | Dr Jarod John Fitzgerald, PHD 629 6th St, Clarkston, WA 99403-2010 Ph: (509) 758-9698 |
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