Mrs Sandra L Fitzgerald, LPC,LADC in Waterbury, CT

Mrs Sandra L Fitzgerald, LPC,LADC is a medicare enrolled "Counselor" provider in Waterbury, Connecticut. Her current practice location is 64 Robbins St, Crisis Intervention Center, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 573-6798.

Mrs Sandra L Fitzgerald is licensed to practice in Connecticut (license number 000511) 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 1720060296.

Contact Information

	Mrs Sandra L Fitzgerald, LPC,LADC
	64 Robbins St, Crisis Intervention Center, Waterbury, CT 06708-2613
	(203) 573-6798
	(203) 573-7007

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Sandra L Fitzgerald
Gender	Female
Speciality	Counselor
Location	64 Robbins St, Waterbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720060296
Provider Enumeration Date: 11/18/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0042663064
Enrollment ID: I20240125004594

Medical Identifiers

Medical identifiers for Mrs Sandra L Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720060296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	000511 (Connecticut)	Primary
101Y00000X	Counselor	000641 (Connecticut)	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. Mrs Sandra L Fitzgerald allows following entities to bill medicare on her behalf.

Entity Name	The Healthy Mind Psychiatric Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063785814 PECOS PAC ID: 4082874672 Enrollment ID: O20120319000396

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 Sandra L 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
Mrs Sandra L Fitzgerald, LPC,LADC 326 Todd Rd, Wolcott, CT 06716-2831 Ph: (203) 879-6287	Mrs Sandra L Fitzgerald, LPC,LADC 64 Robbins St, Crisis Intervention Center, Waterbury, CT 06708-2613 Ph: (203) 573-6798

Reviews and Comments

Counselor in Waterbury, CT

Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000
Ms. Shawnday Becerril, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Robbins St, Crisis Center, Waterbury, CT 06708 Phone: 203-573-6500
Nina Thomas, COUNSELOR-PEDUCATOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 402 East Main Street, Morris Foundation, Inc, Waterbury, CT 06702 Phone: 203-755-1143 Fax: 203-755-1447

Mrs Sandra L Fitzgerald, LPC,LADC - Medicare Counselor in Waterbury, CT