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DR. MARY AMANDA FITZGERALD M.D.
NPI 1730152000
Internal Medicine in Texarkana, TX

Active since February 08, 2006PECOS Enrolled
5701 SUMMERHILL RD, TEXARKANA, TX 75503(870) 779-2751(054) 456-7651 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Amanda Fitzgerald M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY AMANDA FITZGERALD M.D. (NPI 1730152000) is an individual internal medicine provider in Texarkana, Texas, licensed in Arkansas (E-6099) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730152000
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARY AMANDA FITZGERALDCredential: M.D.
Location Address5701 SUMMERHILL RDTexarkana, TX 75503-1634
Mailing AddressP O Box 1848Mena, AR 71953-1841 · (479) 437-3449 · Fax (479) 437-3449
Phone(870) 779-2751
Fax(054) 456-7651
Sole ProprietorNo
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1730152000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AR · E-6099
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5701 SUMMERHILL RD, Texarkana, TX 75503
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Other Names 1

Former Name (1)Dr. Mary Amanda Jackson Md, Mhsa

Other Identifiers 2

Medicaid202875852MO
Medicaid183760001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Amanda Fitzgerald M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier16 claims16 services$207.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNIA KAY KYLES NP
Nurse Practitioner (Family)
5701 SUMMERHILL RD
TEXARKANA, TX 75503
Bowie County (870) 779-2750
SHREVEPORT VAMC
Clinic/Center (VA)
5701 SUMMERHILL RD
TEXARKANA, TX 75503
Bowie County (615) 355-3451
MR. ROBERT G BULS PHARMD
Pharmacist
5701 SUMMERHILL RD
TEXARKANA, TX 75503
Bowie County (800) 862-7441
OLIVIA ANN JOHNSON LCSW
Social Worker (Clinical)
5701 SUMMERHILL RD
TEXARKANA, TX 75503
Bowie County (318) 990-4992

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Fitzgerald's NPI number?

The NPI number for Mary Fitzgerald is 1730152000. It was assigned to this individual provider in the NPPES registry on February 8, 2006. The provider is also known as Dr. Mary Amanda Jackson MD, Mhsa.

Where is Mary Fitzgerald located?

Mary Fitzgerald practices at 5701 Summerhill Rd, Texarkana, TX 75503. The listed phone number is (870) 779-2751.

What is Mary Fitzgerald's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Fitzgerald enrolled in Medicare?

Yes. Mary Fitzgerald is registered in the Medicare PECOS enrollment system.

What insurance does Mary Fitzgerald accept?

Health plans from Blue Cross and Blue Shield of Texas and HMO Louisiana list Mary Fitzgerald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Fitzgerald was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.