Dr Kimberly A Fitzgerald, MD in San Diego, CA - Medicare Psychiatry & Neurology

Dr Kimberly A Fitzgerald, MD is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" physician in San Diego, California. Her current practice location is 3420 Kenyon St, Building B, First Floor, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 221-6050.

Dr Kimberly A Fitzgerald is licensed to practice in California (license number A132788) 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 1750525267.

Contact Information

	Dr Kimberly A Fitzgerald, MD
	3420 Kenyon St, Building B, First Floor, San Diego, CA 92110-5001
	(619) 221-6050
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kimberly A Fitzgerald
Gender	Female
Speciality	Psychiatry & Neurology - Addiction Medicine
Location	3420 Kenyon St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750525267
Provider Enumeration Date: 04/28/2009
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 1951626837
Enrollment ID: I20150217002213

Medical Identifiers

Medical identifiers for Dr Kimberly A Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750525267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084A0401X	Psychiatry & Neurology - Addiction Medicine	A132788 (California)	Primary

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 Kimberly A Fitzgerald allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Kimberly A 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 Kimberly A Fitzgerald, MD 3420 Kenyon St, Building B, First Floor, San Diego, CA 92110-5001 Ph: (619) 221-6050	Dr Kimberly A Fitzgerald, MD 3420 Kenyon St, Building B, First Floor, San Diego, CA 92110-5001 Ph: (619) 221-6050

Reviews and Comments

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Dr Kimberly A Fitzgerald, MD - Medicare Psychiatry & Neurology in San Diego, CA