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.
Physician's Profile
Full Name | Dr Gordon Lucas Fifer |
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Gender | Male |
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Speciality | Urology |
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Location | 240 Southpark Cir E, Saint Augustine, Florida |
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Accepts Medicare Assignments | Medicare 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: I20190128001647
Medical Identifiers
Medical identifiers for Dr Gordon Lucas Fifer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497729933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 35.151509 (Ohio) | Secondary |
208800000X | Urology | ME156455 (Florida) | 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 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 Address | Practice 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 |
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