Dr Jody Wayne Fisher, DC is a medicare enrolled "Chiropractor" provider in St Albans, West Virginia. His current practice location is
142 Maccorkle Ave, St Albans, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 722-3011.
Dr Jody Wayne Fisher is licensed to practice in West Virginia (license number 784) 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 1275614679.
Healthcare Provider's Profile
| Full Name | Dr Jody Wayne Fisher |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 142 Maccorkle Ave, St Albans, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275614679
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 03/17/2013
Medicare PECOS Information:
- PECOS PAC ID: 4284679226
- Enrollment ID: I20200311001788
Medical Identifiers
Medical identifiers for Dr Jody Wayne Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275614679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 784 (West Virginia) | 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. Dr Jody Wayne Fisher allows following entities to bill medicare on his behalf.
| Provider Name | Atlantic Chiropractic, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740500446
PECOS PAC ID: 4880727742
Enrollment ID: O20100729000738 |
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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 Jody Wayne Fisher 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 |
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Dr Jody Wayne Fisher, DC
142 Maccorkle Ave,
St Albans, WV 25177
Ph: (304) 722-3011 | Dr Jody Wayne Fisher, DC
142 Maccorkle Ave,
St Albans, WV 25177
Ph: (304) 722-3011 |
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