Kelly M Fitzgerald, MD in Northbrook, IL

Kelly M Fitzgerald, MD is a medicare enrolled "Pediatrics" physician in Northbrook, Illinois. Her current practice location is 2215 Sanders Rd Ste 105, Northbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at (224) 330-6303.

Kelly M Fitzgerald is licensed to practice in California (license number A148400) 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 1346516689.

Contact Information

	Kelly M Fitzgerald, MD
	2215 Sanders Rd Ste 105, Northbrook, IL 60062-6194
	(224) 330-6303
	(312) 943-6924

Map and Direction

Physician's Profile

Full Name	Kelly M Fitzgerald
Gender	Female
Speciality	Pediatrics
Location	2215 Sanders Rd Ste 105, Northbrook, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346516689
Provider Enumeration Date: 03/30/2012
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 5597086603
Enrollment ID: I20150602000074

Medical Identifiers

Medical identifiers for Kelly M Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346516689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036.137701 (Illinois)	Secondary
208000000X	Pediatrics	A148400 (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. Kelly M Fitzgerald allows following entities to bill medicare on her behalf.

Entity Name	Mercy Hospital & Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215914791 PECOS PAC ID: 7618861105 Enrollment ID: O20040216000053

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. Kelly M 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
Kelly M Fitzgerald, MD 2215 Sanders Rd Ste 105, Northbrook, IL 60062-6194 Ph: (224) 330-6303	Kelly M Fitzgerald, MD 2215 Sanders Rd Ste 105, Northbrook, IL 60062-6194 Ph: (224) 330-6303

Reviews and Comments

Pediatrics Doctors in Northbrook, IL

Malka Belinda Radis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1310 Shermer Rd, Northbrook, IL 60062 Phone: 847-498-3434 Fax: 224-235-4195
Ansley Yellen Feldman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4113 Dundee Road, Northbrook, IL 60062 Phone: 847-272-1005 Fax: 847-272-1136
Sarah Beth Blank, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1131 Techny Rd, Northbrook, IL 60062 Phone: 312-227-7600
Dr. Eun N Syn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2521 Campden Ln, Northbrook, IL 60062 Phone: 847-272-5383
Dr. Amee Elenore Bass, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4113 Dundee Road, Northbrook, IL 60062 Phone: 842-272-1005
Dr. Andrew Peter Krivoshik, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Astellas Way, Northbrook, IL 60062 Phone: 224-205-5636

Kelly M Fitzgerald, MD - Medicare Pediatrics in Northbrook, IL