Dr Jackson Riley Fitzgerald, OD is a medicare enrolled "Optometrist" provider in Afton, Wyoming. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Voss Vision Llc and his current practice location is
50 E 4th Ave, Afton, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 885-3975.
Dr Jackson Riley Fitzgerald is licensed to practice in Montana (license number OPT-OPT-LIC-4481) 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 1598495384.
Healthcare Provider's Profile
| Full Name | Dr Jackson Riley Fitzgerald |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 4 Years |
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| Location | 50 E 4th Ave, Afton, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jackson Riley Fitzgerald graduated from medical school in 2022
NPI Data:
- NPI Number: 1598495384
- Provider Enumeration Date: 06/14/2022
- Last Update Date: 02/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931580511
- Enrollment ID: I20240611001055
Medical Identifiers
Medical identifiers for Dr Jackson Riley Fitzgerald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598495384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 548T (Wyoming) | Secondary |
| 152W00000X | Optometrist | OPT-OPT-LIC-4481 (Montana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Voss Vision Llc | 2860701331 | 2 |
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. Dr Jackson Riley Fitzgerald allows following entities to bill medicare on his behalf.
| Provider Name | Voss Vision Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386029494
PECOS PAC ID: 2860701331
Enrollment ID: O20151123001665 |
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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. Dr Jackson Riley 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 |
|---|
Dr Jackson Riley Fitzgerald, OD
4 S Hillside Dr,
Elk Ridge, UT 84651-8501
Ph: (801) 669-3687 | Dr Jackson Riley Fitzgerald, OD
50 E 4th Ave,
Afton, WY 83110-5027
Ph: (307) 885-3975 |
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