Dr Jacqueline M Fitzgerald, DO is a
General Practice physician based in Ossineke, Michigan. Dr Jacqueline M Fitzgerald is licensed to practice in Michigan (license number 5101009215) and her current practice location is 11745 Us Highway 23 S, Ossineke, Michigan. She can be reached at her office (for appointments etc.) via phone at
(989) 471-2156.
NPI number for Dr Jacqueline M Fitzgerald is 1205862455 and her current mailing address is 11745 Us Highway 23 S, Ossineke, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205862455.
Physician's Profile
| Full Name | Dr Jacqueline M Fitzgerald |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | 11745 Us Highway 23 S, Ossineke, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205862455
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 02/02/2021
Medical Identifiers
Medical identifiers for Dr Jacqueline M Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205862455 | NPI | - | NPPES |
| 1990638 | Medicaid | MI | |
| 2888399 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 5101009215 (Michigan) | 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. Dr Jacqueline M 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 |
Dr Jacqueline M Fitzgerald, DO 11745 Us Highway 23 S, Ossineke, MI 49766-9582 Ph: (989) 471-2156 | Dr Jacqueline M Fitzgerald, DO 11745 Us Highway 23 S, Ossineke, MI 49766-9582 Ph: (989) 471-2156 |
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