Shannon L. Fitzgerald

Pediatric Adolescent Medicine | Female

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Complete Profile:

Shannon L. Fitzgerald basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Shannon L. Fitzgerald
Gender :	Female

Business Address:

Shannon L. Fitzgerald address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	300 Longwood Ave Boston, MA, 02115-5724 United States
Phone Number :	617-355-6000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1821415936
NPI Entity Type :	Individual
First Enrolment Date :	26 Mar, 2014
Last Updated On :	11 Feb, 2020

Medicare Participation:

Shannon L. Fitzgerald participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7315165867
Medicare Enrollment ID :	I20200508001836
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2014
Accepts Medicare?	Yes. Shannon L. Fitzgerald accepts medicare insurance.

Group Practice Association:

Shannon L. Fitzgerald is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Shannon L. Fitzgerald is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Children's Hospital Pediatric Associates, Inc	3476541830	231	269 Walpole St Norwood, MA - 020623251 Ph: 7812162550	Yes
Children's Hospital Pediatric Associates, Inc	3476541830	231	300 Longwood Ave Boston, MA - 021155724 Ph: 6173556000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon L. Fitzgerald are as mentioned. Primary taxonomy code for Shannon L. Fitzgerald is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080A0000X	Pediatrics Adolescent Medicine	Yes	269960	MA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	300 Longwood Ave Boston, MA, 02115-5724 United States
Phone Number :	617-355-6000

Business Location:

Patients can refer following map for directions to Shannon L. Fitzgerald practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.