Dr Keifer Layne Fisher, DDS is a medicare enrolled "Dentist - General Practice" provider in Spiro, Oklahoma. His current practice location is
318 W Broadway St, Spiro, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 962-2466.
Dr Keifer Layne Fisher is licensed to practice in Oklahoma (license number 4826) 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 1205822681.
Healthcare Provider's Profile
| Full Name | Dr Keifer Layne Fisher |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 318 W Broadway St, Spiro, Oklahoma |
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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: 1205822681
- Provider Enumeration Date: 09/21/2005
- Last Update Date: 09/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 8224310396
- Enrollment ID: I20170125001248
Medical Identifiers
Medical identifiers for Dr Keifer Layne Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205822681 | NPI | - | NPPES |
| 100670270A | Medicaid | OK | |
| 4826 | Other | OK | OKLAHOMA DENTAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 4826 (Oklahoma) | 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 Keifer Layne Fisher 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 Keifer Layne Fisher, DDS
318 W Broadway St,
Spiro, OK 74959-2422
Ph: (918) 962-2466 | Dr Keifer Layne Fisher, DDS
318 W Broadway St,
Spiro, OK 74959-2422
Ph: (918) 962-2466 |
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