Mr Jerry Fatica, LPA - Psychologist in Jacksonville, NC

Mr Jerry Fatica, LPA is a Psychologist based in Jacksonville, North Carolina. Mr Jerry Fatica is licensed to practice in North Carolina (license number 1096) and his current practice location is 1703 Country Club Road, Suite 204, Jacksonville, North Carolina. He can be reached at his office (for appointments etc.) via phone at (910) 347-3010.

NPI number for Mr Jerry Fatica is 1598741035 and his current mailing address is 1703 Country Club Road, Suite 204, Jacksonville, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598741035.

Contact Information

Mr Jerry Fatica, LPA
1703 Country Club Road, Suite 204,
Jacksonville, NC 28546
(910) 347-3010
(910) 347-3201



Healthcare Provider's Profile

Full NameMr Jerry Fatica
GenderMale
SpecialityPsychologist
Location1703 Country Club Road, Jacksonville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598741035
  • Provider Enumeration Date: 12/16/2005
  • Last Update Date: 05/08/2008

Medical Identifiers

Medical identifiers for Mr Jerry Fatica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598741035NPI-NPPES
141GPOtherNCBC/BS
6107096MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 1096 (North Carolina)Primary

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. Mr Jerry Fatica is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jerry Fatica, LPA
1703 Country Club Road, Suite 204,
Jacksonville, NC 28546

Ph: (910) 347-3010
Mr Jerry Fatica, LPA
1703 Country Club Road, Suite 204,
Jacksonville, NC 28546

Ph: (910) 347-3010

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› Verified 6 days ago


Psychologist in Jacksonville, NC

Mrs. Jameszetta Hardison, LPA LMFT
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1703 Country Club Rd, Suite 204, Jacksonville, NC 28546
Phone: 910-347-3010    Fax: 910-347-3201
Carissa Marsh, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 200 Doctors Dr Ste M, Jacksonville, NC 28546
Phone: 910-378-2678    Fax: 910-900-0930
Mrs. Erin Lesko, LPA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1703 Country Club Rd, Suite 204, Jacksonville, NC 28546
Phone: 910-347-3010    Fax: 910-347-3201
Dr. Cheryl Ann Morrow-bradley, PH.D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2444 Commerce Rd, Ste 125, Jacksonville, NC 28546
Phone: 910-238-2166    Fax: 910-333-0639
Ms. Joyce M. Harpe, M.A., LPA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1703 Country Club Rd, Suite 204, Jacksonville, NC 28546
Phone: 910-347-3010    
Jonathan Marmorstein, MA, LPA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1703 Country Club Rd, Suite 204, Jacksonville, NC 28546
Phone: 910-347-3010    Fax: 910-347-3201
Dr. Sarah Lynn Sarubbi, PSY.D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546
Phone: 910-938-1114    Fax: 910-938-1118

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