| Philip Clark Fitzpatrick Iii, MD | |
|
801 William Ave, North Platte, NE 69101 | |
| (308) 532-3330 | |
| (308) 532-3334 |
| Full Name | Philip Clark Fitzpatrick Iii |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 29 Years |
| Location | 801 William Ave, North Platte, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588742001 | NPI | - | NPPES |
| 35296 | Other | NE | BLUE CROSS BLUE SHIELD |
| 47084139713 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 21635 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great Plains Health | North platte, NE | Hospital |
| Citizens Medical Center | Colby, KS | Hospital |
| Community Hospital | Mccook, NE | Hospital |
| Perkins County Health Services | Grant, NE | Hospital |
| Brown County Hospital | Ainsworth, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Platte Nebraska Hospital Corporation | 6507856697 | 199 |
| Citizens Medical Center Inc | 8729996467 | 28 |
| Entity Name | North Platte Nebraska Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700855533 PECOS PAC ID: 6507856697 Enrollment ID: O20040512000889 |
| Entity Name | Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588771158 PECOS PAC ID: 9133101629 Enrollment ID: O20040607001378 |
| Entity Name | Chase County Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033277751 PECOS PAC ID: 2567436736 Enrollment ID: O20040923000877 |
| Entity Name | Perkins County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437167970 PECOS PAC ID: 0840109823 Enrollment ID: O20041007000699 |
| Entity Name | Brown County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417027210 PECOS PAC ID: 4789593831 Enrollment ID: O20051007000313 |
| Entity Name | Brown County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760464283 PECOS PAC ID: 4789593831 Enrollment ID: O20071127000857 |
| Entity Name | Chase County Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1609934843 PECOS PAC ID: 2567436736 Enrollment ID: O20071129000149 |
| Entity Name | Ogallala Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710915467 PECOS PAC ID: 3072517523 Enrollment ID: O20090306000252 |
| Entity Name | Community Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841204500 PECOS PAC ID: 9133101629 Enrollment ID: O20100908000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Clark Fitzpatrick Iii, MD 801 William Ave, North Platte, NE 69101-6556 Ph: (308) 532-3330 | Philip Clark Fitzpatrick Iii, MD 801 William Ave, North Platte, NE 69101 Ph: (308) 532-3330 |
Elaine Louise Fitzpatrick, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 801 William Ave, North Platte, NE 69101 Phone: 308-532-3330 Fax: 308-532-3334 | |
Roger J Simpson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 106 E C St, North Platte, NE 69101 Phone: 308-532-6165 Fax: 308-532-7464 |