| Derek A Fitzgerald, MD | |
|
805 E 32nd St Ste 100-102, Austin, TX 78705-2537 | |
| (210) 374-2724 | |
| (210) 874-8512 |
| Full Name | Derek A Fitzgerald |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 6 Years |
| Location | 805 E 32nd St Ste 100-102, Austin, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649825290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | V9311 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Gulf Coast Pllc | 4688999022 | 511 |
| Entity Name | Privia Medical Group Gulf Coast PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek A Fitzgerald, MD 8610 N New Braunfels Ave Ste 101, San Antonio, TX 78217-6359 Ph: (210) 874-5260 | Derek A Fitzgerald, MD 805 E 32nd St Ste 100-102, Austin, TX 78705-2537 Ph: (210) 374-2724 |
Dr. Genaro Jesus Gutierrez, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745 Phone: 855-876-7246 Fax: 855-277-5070 |
Dr. Bruce Richard Metcalf Iii, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 9010 Brodie Ln Unit 200, Austin, TX 78748 Phone: 512-994-4159 |
Paul H Le, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 W 38th St Ste D4, Austin, TX 78705 Phone: 512-244-4272 Fax: 512-244-2895 |
Daniel Anthony Frederick, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4316 James Casey St Ste B, Austin, TX 78745 Phone: 855-876-7246 Fax: 855-277-5070 |