Ms Kathleen Elaine Fitzgerald-petersen, MSN, RN, WHNP-BC in Xenia, OH

Ms Kathleen Elaine Fitzgerald-petersen, MSN, RN, WHNP-BC is a medicare enrolled "Nurse Practitioner - Women's Health" in Xenia, Ohio. Her current practice location is 360 Wilson Dr, Xenia, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 374-5600.

Ms Kathleen Elaine Fitzgerald-petersen is licensed to practice in Ohio (license number NP07736) 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 1700908696.

Contact Information

	Ms Kathleen Elaine Fitzgerald-petersen, MSN, RN, WHNP-BC
	360 Wilson Dr, Xenia, OH 45385-1810
	(937) 374-5600
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kathleen Elaine Fitzgerald-petersen
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	360 Wilson Dr, Xenia, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700908696
Provider Enumeration Date: 04/04/2007
Last Update Date: 03/30/2017

Medicare PECOS Information:

PECOS PAC ID: 1052403011
Enrollment ID: I20070822000619

Medical Identifiers

Medical identifiers for Ms Kathleen Elaine Fitzgerald-petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700908696	NPI	-	NPPES
2776063	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	NP07736 (Ohio)	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. Ms Kathleen Elaine Fitzgerald-petersen allows following entities to bill medicare on her behalf.

Entity Name	Five Rivers Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638

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. Ms Kathleen Elaine Fitzgerald-petersen 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
Ms Kathleen Elaine Fitzgerald-petersen, MSN, RN, WHNP-BC 360 Wilson Dr, Xenia, OH 45385-1810 Ph: (937) 374-5600	Ms Kathleen Elaine Fitzgerald-petersen, MSN, RN, WHNP-BC 360 Wilson Dr, Xenia, OH 45385-1810 Ph: (937) 374-5600

Reviews and Comments

Nurse Practitioner Nurses in Xenia, OH

Kimberly Carol Vandalen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 193 S Progress Dr, Xenia, OH 45385 Phone: 937-372-7583
Emily Joanne Cooper, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 N Progress Dr, Xenia, OH 45385 Phone: 937-562-2280 Fax: 937-562-2282
Jessica Darnell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 193 S Progress Dr, Xenia, OH 45385 Phone: 937-372-7583
Elizabeth Ann Delaney, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 282 Stelton Rd, Xenia, OH 45385 Phone: 937-505-3400
Christopher Perry Loch, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 551 S Detroit St, Xenia, OH 45385 Phone: 937-554-5579
Mrs. Jennifer Reid Reichert, APRN-PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 53 W Main St, Xenia, OH 45385 Phone: 937-848-1563
Liberata Rutashongerwa, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 S Orange St, Xenia, OH 45385 Phone: 937-310-3832 Fax: 937-352-6421

Ms Kathleen Elaine Fitzgerald-petersen, MSN, RN, WHNP-BC - Medicare Nurse Practitioner in Xenia, OH