Dr Daniel Brian Fish, MD is a medicare enrolled "Internal Medicine - Magnetic Resonance Imaging (mri)" physician in Seminole, Texas. His current practice location is
201 Ne 3rd St, Suite C, Seminole, Texas. You can reach out to his office (for appointments etc.) via phone at
(432) 758-6015.
Dr Daniel Brian Fish is licensed to practice in Texas (license number J6105) 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 1588714356.
Physician's Profile
| Full Name | Dr Daniel Brian Fish |
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| Gender | Male |
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| Speciality | Internal Medicine - Magnetic Resonance Imaging (mri) |
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| Location | 201 Ne 3rd St, Seminole, Texas |
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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: 1588714356
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 01/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 3870503840
- Enrollment ID: I20060504000680
Medical Identifiers
Medical identifiers for Dr Daniel Brian Fish such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588714356 | NPI | - | NPPES |
| 140091323 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RM1200X | Internal Medicine - Magnetic Resonance Imaging (mri) | J6105 (Texas) | Primary |
| 207P00000X | Emergency Medicine | J6015 (Texas) | Secondary |
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. Dr Daniel Brian Fish allows following entities to bill medicare on his behalf.
| Entity Name | Concord Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531 |
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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. Dr Daniel Brian 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 Daniel Brian Fish, MD
201 Ne 3rd St, Suite C,
Seminole, TX 79360
Ph: (432) 758-6015 | Dr Daniel Brian Fish, MD
201 Ne 3rd St, Suite C,
Seminole, TX 79360-3613
Ph: (432) 758-6015 |
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