Dr Gordon Lucas Fifer, MD - Medicare Urology in Saint Augustine, FL

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Dr Gordon Lucas Fifer, MD is a medicare enrolled "Urology" physician in Saint Augustine, Florida. His current practice location is 240 Southpark Cir E, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 824-1450.

Dr Gordon Lucas Fifer is licensed to practice in Florida (license number ME156455) 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 1497729933.

Contact Information

Dr Gordon Lucas Fifer, MD
240 Southpark Cir E,
Saint Augustine, FL 32086-5137
(904) 824-1450
Not Available

Map and Direction




Physician's Profile

Full NameDr Gordon Lucas Fifer
GenderMale
SpecialityUrology
Location240 Southpark Cir E, Saint Augustine, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497729933
  • Provider Enumeration Date: 02/13/2006
  • Last Update Date: 10/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769639343
  • Enrollment ID: I20220826001801

Medical Identifiers

Medical identifiers for Dr Gordon Lucas Fifer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497729933NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 35.151509 (Ohio)Secondary
208800000XUrology ME156455 (Florida)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. Dr Gordon Lucas Fifer allows following entities to bill medicare on his behalf.
Entity NameAdvanced Urology Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023447935
PECOS PAC ID: 2163653585
Enrollment ID: O20140328000990

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 Gordon Lucas Fifer 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 AddressPractice Location Address
Dr Gordon Lucas Fifer, MD
12109 County Road 103,
Oxford, FL 34484-2951

Ph: (352) 205-8981		Dr Gordon Lucas Fifer, MD
240 Southpark Cir E,
Saint Augustine, FL 32086-5137

Ph: (904) 824-1450

Reviews and Comments


Urology Doctors in Saint Augustine, FL

Dr. Billy Pitapong Vanasupa, D.O.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 240 Southpark Cir E, Saint Augustine, FL 32086
Phone: 904-824-1450    Fax: 386-239-8530

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.