Thomas Fitzgerald Iii, MD - Medicare Emergency Medicine in Carrollton, GA

Thomas Fitzgerald Iii, MD is a medicare enrolled "Emergency Medicine" physician in Carrollton, Georgia. His current practice location is 705 Dixie St, Carrollton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 836-9666.

Thomas Fitzgerald Iii is licensed to practice in Georgia (license number 019677) 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 1902863814.

Contact Information

Thomas Fitzgerald Iii, MD
705 Dixie St,
Carrollton, GA 30117-3818
(770) 836-9666
Not Available



Physician's Profile

Full NameThomas Fitzgerald Iii
GenderMale
SpecialityEmergency Medicine
Location705 Dixie St, Carrollton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902863814
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 04/28/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5698677441
  • Enrollment ID: I20050121000259

Medical Identifiers

Medical identifiers for Thomas Fitzgerald Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902863814NPI-NPPES
000440965AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 019677 (Georgia)Secondary
207P00000XEmergency Medicine 019677 (Georgia)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. Thomas Fitzgerald Iii allows following entities to bill medicare on his behalf.
Entity NameCarrollton Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790724672
PECOS PAC ID: 7416860010
Enrollment ID: O20040122001028

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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. Thomas Fitzgerald Iii 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 AddressPractice Location Address
Thomas Fitzgerald Iii, MD
336 W Club Dr,
Carrollton, GA 30117-4111

Ph: () -
Thomas Fitzgerald Iii, MD
705 Dixie St,
Carrollton, GA 30117-3818

Ph: (770) 836-9666

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Emergency Medicine Doctors in Carrollton, GA

Brett Wynn, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-836-9666    
Jesse Mitchell Jr., M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-836-9666    
Nathan Hundley, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-812-9597    
Michael Eckert, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Tanner Health Systems, Emergency Dept, Carrollton, GA 30117
Phone: 770-836-9666    
Richard Whitaker, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-836-9666    
Theodore Nicholson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-836-9666    
Dr. Kevin Henderson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 705 Dixie St, Carrollton, GA 30117
Phone: 770-838-8824    

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