Mr Percival Fisher Jr, is a medicare enrolled "Social Worker - Clinical" provider in Yeadon, Pennsylvania. His current practice location is
920 Bell Ave, Yeadon, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 983-8720.
Mr Percival Fisher Jr is licensed to practice in Pennsylvania (license number CW019168) 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 1598067118.
Healthcare Provider's Profile
| Full Name | Mr Percival Fisher Jr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 920 Bell Ave, Yeadon, Pennsylvania |
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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: 1598067118
- Provider Enumeration Date: 12/02/2010
- Last Update Date: 08/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294185948
- Enrollment ID: I20231221002064
Medical Identifiers
Medical identifiers for Mr Percival Fisher Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598067118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 83593 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61008996 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | 20149 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | L13058 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC05938700 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW18672 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | C014518 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 31150 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | DP00945947 (West Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW019168 (Pennsylvania) | 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. Mr Percival Fisher Jr allows following entities to bill medicare on his behalf.
| Entity Name | Xrhealth Usa Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902449176
PECOS PAC ID: 2264867704
Enrollment ID: O20200302001083 |
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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. Mr Percival Fisher Jr 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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Mr Percival Fisher Jr,
920 Bell Ave,
Yeadon, PA 19050-3705
Ph: (215) 983-8720 | Mr Percival Fisher Jr,
920 Bell Ave,
Yeadon, PA 19050-3705
Ph: (215) 983-8720 |
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