Kevin Edward Fitzgerald, MD in Grand Rapids, MI

Kevin Edward Fitzgerald, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Grand Rapids, Michigan. His current practice location is 4100 Lake Dr Se, Ste 305, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 285-1377.

Kevin Edward Fitzgerald is licensed to practice in Michigan (license number 4301044533) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144281080.

Contact Information

	Kevin Edward Fitzgerald, MD
	4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546
	(616) 285-1377
	(616) 285-1006

Map and Direction

Physician's Profile

Full Name	Kevin Edward Fitzgerald
Gender	Male
Speciality	Pain Medicine - Interventional Pain Medicine
Location	4100 Lake Dr Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144281080
Provider Enumeration Date: 03/30/2006
Last Update Date: 11/18/2008

Medicare PECOS Information:

PECOS PAC ID: 3476441452
Enrollment ID: I20040406001033

Medical Identifiers

Medical identifiers for Kevin Edward Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144281080	NPI	-	NPPES
4532350-10	Medicaid	MI
5648777	Other		CIGNA
4592438-10	Medicaid	MI
23113	Other		HEALTH PLAN OF MICHIGAN
4507437-10	Medicaid	MI
550410072	Other	MI	BLUE CROSS BLUE SHIELD
P00057547	Other		RAILROAD MEDICARE
7000144071	Other		PRIORITY HEALTH
4642669	Other		AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0014X	Pain Medicine - Interventional Pain Medicine	4301044533 (Michigan)	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. Kevin Edward Fitzgerald allows following entities to bill medicare on his behalf.

Entity Name	Michigan Pain Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467418574 PECOS PAC ID: 8426959099 Enrollment ID: O20040225001094

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. Kevin Edward 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
Kevin Edward Fitzgerald, MD 61 Commerce Ave Sw, Grand Rapids, MI 49503-4124 Ph: (616) 940-0660	Kevin Edward Fitzgerald, MD 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 Ph: (616) 285-1377

Reviews and Comments

Pain Medicine Doctors in Grand Rapids, MI

Fred Neal Davis, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154
Daniel Mark Mankoff, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006
Dr. Kevin M. Nemeth, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1154
Joseph Yared Vanden Bosch, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 305, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006
Daniel James Veldheer, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Grand Rapids, MI 49546 Phone: 616-285-1377
Mark Louis Gostine, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-285-1377 Fax: 616-285-1006

Kevin Edward Fitzgerald, MD - Medicare Pain Medicine in Grand Rapids, MI