Dr Jeffrey Paul Fish, DDS is a medicare enrolled "Dentist" provider in Crosby, Minnesota. His current practice location is
107 W Main St, Crosby, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 546-6031.
Dr Jeffrey Paul Fish is licensed to practice in Minnesota (license number D10663) 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 1962468470.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Paul Fish |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 107 W Main St, Crosby, Minnesota |
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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: 1962468470
- Provider Enumeration Date: 04/24/2006
- Last Update Date: 08/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 1759376973
- Enrollment ID: I20160122002183
Medical Identifiers
Medical identifiers for Dr Jeffrey Paul Fish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962468470 | NPI | - | NPPES |
| 226222300 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D10663 (Minnesota) | 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. Dr Jeffrey Paul 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 Jeffrey Paul Fish, DDS
107 W Main St,
Crosby, MN 56441-1423
Ph: (218) 546-6031 | Dr Jeffrey Paul Fish, DDS
107 W Main St,
Crosby, MN 56441-1423
Ph: (218) 546-6031 |
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