Jacob Fitzpatrick, in North Branch, MI - Medicare Nurse Practitioner

Jacob Fitzpatrick, is a medicare enrolled "Nurse Practitioner - Family" in North Branch, Michigan. His current practice location is 5830 N Lapeer Rd Ste B&c, North Branch, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 545-0235.

Jacob Fitzpatrick is licensed to practice in Michigan (license number 4704336069) 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 1114505807.

Contact Information

	Jacob Fitzpatrick,
	5830 N Lapeer Rd Ste B&c, North Branch, MI 48461-9660
	(810) 545-0235
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob Fitzpatrick
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5830 N Lapeer Rd Ste B&c, North Branch, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114505807
Provider Enumeration Date: 04/01/2021
Last Update Date: 04/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8325444078
Enrollment ID: I20240419003562

Medical Identifiers

Medical identifiers for Jacob Fitzpatrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114505807	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704336069 (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. Jacob Fitzpatrick allows following entities to bill medicare on his behalf.

Entity Name	Carelon Medical Partners, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20210623001084

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. Jacob Fitzpatrick 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
Jacob Fitzpatrick, 5830 N Lapeer Rd Ste B-d, North Branch, MI 48461-9660 Ph: (810) 545-0235	Jacob Fitzpatrick, 5830 N Lapeer Rd Ste B&c, North Branch, MI 48461-9660 Ph: (810) 545-0235

Reviews and Comments

Nurse Practitioner Nurses in North Branch, MI

Joan M Maten, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4482 Huron St, North Branch, MI 48461 Phone: 810-688-3093
Cori Christine Wirth, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3788 Jefferson Rd, North Branch, MI 48461 Phone: 810-614-0616
Anita M Schierlinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Huron St, North Branch, MI 48461 Phone: 810-688-3048 Fax: 810-688-2640
Taylor Clare, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4482 Huron St, North Branch, MI 48461 Phone: 810-688-3093 Fax: 810-688-3694
Rachel Beyma, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5830 N Lapeer Rd, North Branch, MI 48461 Phone: 810-545-0235

Jacob Fitzpatrick, - Medicare Nurse Practitioner in North Branch, MI