Deborah Fishman, is a medicare enrolled "Ophthalmology" physician in Wilmette, Illinois. Her current practice location is
3612 Lake Ave, 2c, Wilmette, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 256-2020.
Deborah Fishman is licensed to practice in Illinois (license number 036084319) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982659314.
Physician's Profile
| Full Name | Deborah Fishman |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Location | 3612 Lake Ave, Wilmette, Illinois |
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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: 1982659314
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 08/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 7810937000
- Enrollment ID: I20080708000528
Medical Identifiers
Medical identifiers for Deborah Fishman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982659314 | NPI | - | NPPES |
| 036084319 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 036084319 (Illinois) | 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. Deborah Fishman allows following entities to bill medicare on her behalf.
| Entity Name | Pediatric Eye Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924857
PECOS PAC ID: 9830139005
Enrollment ID: O20050506000281 |
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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. Deborah Fishman 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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Deborah Fishman,
3612 Lake Ave, 2c,
Wilmette, IL 60091-1000
Ph: () - | Deborah Fishman,
3612 Lake Ave, 2c,
Wilmette, IL 60091-1000
Ph: (847) 256-2020 |
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