Travis Randall Fischer, is a
Peer Specialist based in Indio, California. Travis Randall Fischer is licensed to practice in California (license number MPSS-TBYHIP) and his current practice location is
46900 Monroe St Ste A101, Indio, California. He can be reached at his office (for appointments etc.) via phone at
(760) 863-7219.
NPI number for Travis Randall Fischer is 1154076370 and his current mailing address is 46900 Monroe St Ste A101, Indio, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154076370.
Healthcare Provider's Profile
| Full Name | Travis Randall Fischer |
|---|
| Gender | Male |
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| Speciality | Peer Specialist |
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| Location | 46900 Monroe St Ste A101, Indio, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154076370
- Provider Enumeration Date: 02/16/2022
- Last Update Date: 12/19/2023
Medical Identifiers
Medical identifiers for Travis Randall Fischer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154076370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1458280222 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | MPSS-TBYHIP (California) | Primary |
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. Travis Randall Fischer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Travis Randall Fischer,
46900 Monroe St Ste A101,
Indio, CA 92201-4828
Ph: (760) 863-7219 | Travis Randall Fischer,
46900 Monroe St Ste A101,
Indio, CA 92201-4828
Ph: (760) 863-7219 |
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