| Dr Stephanie Lynne Fitzgerald, DO | |
|
1293 E Parkdale Ave, Suite 1200a, Manistee, MI 49660-8904 | |
| (231) 398-1550 | |
| (231) 398-1691 |
| Full Name | Dr Stephanie Lynne Fitzgerald |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 1293 E Parkdale Ave, Manistee, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609955400 | NPI | - | NPPES |
| 1655100055 | Other | MI | BLUE CARE NETWORK |
| 4074432 | Medicaid | MI | |
| 1655100055 | Other | MI | BCBS |
| 700E110080 | Other | MI | GROUP BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101012161 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Healthcare Manistee Hospital | Manistee, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Healthcare Manistee Hospital | 3072414333 | 22 |
| Entity Name | Munson Healthcare Manistee Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649457771 PECOS PAC ID: 3072414333 Enrollment ID: O20040119000647 |
| Entity Name | Munson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Lynne Fitzgerald, DO 1293 E Parkdale Ave, Suite 1200a, Manistee, MI 49660-8904 Ph: (231) 398-1550 | Dr Stephanie Lynne Fitzgerald, DO 1293 E Parkdale Ave, Suite 1200a, Manistee, MI 49660-8904 Ph: (231) 398-1550 |
Dr. Marian Fuller, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1293 E Parkdale Ave, Manistee, MI 49660 Phone: 231-398-1550 | |
Ronald Roger Joanette, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1293 E. Parkdale Avenue, Suite 1200a, Manistee, MI 49660 Phone: 231-398-1550 Fax: 231-398-1691 |