Dr Keith C Fischer, MD is a medicare enrolled "Nuclear Medicine" physician in Saint Louis, Missouri. His current practice location is
510 S Kingshighway Blvd, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 362-7200.
Dr Keith C Fischer is licensed to practice in Missouri (license number R7780) 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 1699869925.
Physician's Profile
| Full Name | Dr Keith C Fischer |
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| Gender | Male |
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| Speciality | Nuclear Medicine |
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| Location | 510 S Kingshighway Blvd, Saint Louis, Missouri |
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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: 1699869925
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 01/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 4688714587
- Enrollment ID: I20091229000066
Medical Identifiers
Medical identifiers for Dr Keith C Fischer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699869925 | NPI | - | NPPES |
| ENROLLED | Medicaid | IL | |
| 202768412 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R7780 (Missouri) | Secondary |
| 207U00000X | Nuclear Medicine | R7780 (Missouri) | 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 Keith C Fischer allows following entities to bill medicare on his behalf.
| Entity Name | Washington University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962442475
PECOS PAC ID: 9830008770
Enrollment ID: O20031204000987 |
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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 Keith C Fischer 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 Keith C Fischer, MD
660 S Euclid Ave, C B 8131,
Saint Louis, MO 63110-1010
Ph: (314) 362-7200 | Dr Keith C Fischer, MD
510 S Kingshighway Blvd,
Saint Louis, MO 63110-1016
Ph: (314) 362-7200 |
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