Kimani Fitzgerald, in East Peoria, IL - Medicare Nurse Practitioner

Kimani Fitzgerald, is a medicare enrolled "Nurse Practitioner - Family" in East Peoria, Illinois. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Proctor Health Systems, Carle Health Care Incorporated and his current practice location is 1000 Centennial Dr, East Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 324-0880.

Kimani Fitzgerald is licensed to practice in Illinois (license number 209.029516) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740011154.

Contact Information

	Kimani Fitzgerald,
	1000 Centennial Dr, East Peoria, IL 61611-4916
	(309) 324-0880
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimani Fitzgerald
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1000 Centennial Dr, East Peoria, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimani Fitzgerald graduated from nursing school in 2022

NPI Data:

NPI Number: 1740011154
Provider Enumeration Date: 08/08/2024
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8729527122
Enrollment ID: I20240829002004

Medical Identifiers

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

Identifier	Type	State	Issuer
1740011154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.029516 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Medical Center Of Illinois	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Proctor Health Systems	3476440173	134
Carle Health Care Incorporated	3577515774	1537

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. Kimani Fitzgerald allows following entities to bill medicare on his behalf.

Entity Name	Empowerme Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073217204 PECOS PAC ID: 7214392059 Enrollment ID: O20230505001503

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. Kimani 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
Kimani Fitzgerald, 6224 N Talisman Ter, Peoria, IL 61615-2749 Ph: (309) 231-3184	Kimani Fitzgerald, 1000 Centennial Dr, East Peoria, IL 61611-4916 Ph: (309) 324-0880

Reviews and Comments

Nurse Practitioner Nurses in East Peoria, IL

Delanie Lynn Fletcher, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100
Mrs. Deidra Diane Anderson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100
Joshua A Larson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102
Amy J Stone, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100
Kaylee Elizabeth Polen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-265-7287
Brittany Anne Mcgill, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr Ste 4015, East Peoria, IL 61611 Phone: 309-308-5100 Fax: 309-308-5102
Mrs. Brandy J Coleman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Spinder Dr, East Peoria, IL 61611 Phone: 309-308-5100

Kimani Fitzgerald, - Medicare Nurse Practitioner in East Peoria, IL