Dr Kenneth John Fish, DC in Gaithersburg, MD - Medicare Chiropractor Provider

Dr Kenneth John Fish, DC is a medicare enrolled "Chiropractor" provider in Gaithersburg, Maryland. His current practice location is 937 Russell Ave Ste B, Gaithersburg, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 519-1881.

Dr Kenneth John Fish is licensed to practice in Maryland (license number 01987) 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 1124157516.

Contact Information

	Dr Kenneth John Fish, DC
	937 Russell Ave Ste B, Gaithersburg, MD 20879-3280
	(301) 519-1881
	(301) 519-1131

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth John Fish
Gender	Male
Speciality	Chiropractor
Location	937 Russell Ave Ste B, Gaithersburg, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124157516
Provider Enumeration Date: 03/03/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8426946310
Enrollment ID: I20040310001261

Medical Identifiers

Medical identifiers for Dr Kenneth John Fish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124157516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	01987 (Maryland)	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 Kenneth John Fish allows following entities to bill medicare on his behalf.

Provider Name	Wellsprings Chiropractic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245421007 PECOS PAC ID: 7315835287 Enrollment ID: O20040510000756

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 Kenneth John Fish 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
Dr Kenneth John Fish, DC Po Box 2004, Montgomery Village, MD 20886-2004 Ph: (301) 519-1881	Dr Kenneth John Fish, DC 937 Russell Ave Ste B, Gaithersburg, MD 20879-3280 Ph: (301) 519-1881

Reviews and Comments

Chiropractor in Gaithersburg, MD

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Dr Kenneth John Fish, DC - Medicare Chiropractor in Gaithersburg, MD