James Ryan Fisk, BA, MSW is a medicare enrolled "Social Worker - Clinical" provider in Spokane, Washington. His current practice location is
105 W 8th Ave Ste 450, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 474-6920.
James Ryan Fisk is licensed to practice in Washington (license number LW61024306) 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 1881162162.
Healthcare Provider's Profile
Full Name | James Ryan Fisk |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 105 W 8th Ave Ste 450, Spokane, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881162162
- Provider Enumeration Date: 11/05/2018
- Last Update Date: 11/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799190641
- Enrollment ID: I20210226001611
Medical Identifiers
Medical identifiers for James Ryan Fisk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881162162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | CG60156882 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW61024306 (Washington) | 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. James Ryan Fisk allows following entities to bill medicare on his behalf.
Entity Name | Frontier Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861495327 PECOS PAC ID: 5092603340 Enrollment ID: O20040308001191 |
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Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
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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. James Ryan Fisk 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 |
James Ryan Fisk, BA, MSW Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | James Ryan Fisk, BA, MSW 105 W 8th Ave Ste 450, Spokane, WA 99204-2314 Ph: (509) 474-6920 |
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