Dr Leslie E Fishman, MD is a medicare enrolled "Pediatrics" physician in Avon, Colorado. His current practice location is
50 Buck Creek Road, Suite 200, Avon, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 926-6340.
Dr Leslie E Fishman is licensed to practice in Colorado (license number 45386) 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 1902886997.
Physician's Profile
Full Name | Dr Leslie E Fishman |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 50 Buck Creek Road, Avon, Colorado |
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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: 1902886997
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 02/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 9931262052
- Enrollment ID: I20090115000042
Medical Identifiers
Medical identifiers for Dr Leslie E Fishman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902886997 | NPI | - | NPPES |
1902886997 | Medicaid | CO | |
26501511 | Medicaid | CO | |
612272800 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 25850 (Minnesota) | Secondary |
208000000X | Pediatrics | 45386 (Colorado) | 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 Leslie E Fishman allows following entities to bill medicare on his behalf.
Entity Name | Colorado Mountain Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730747445 PECOS PAC ID: 5496087181 Enrollment ID: O20191030000595 |
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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 Leslie E 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 |
Dr Leslie E Fishman, MD Po Box 4330, Avon, CO 81620-4330 Ph: (970) 926-6340 | Dr Leslie E Fishman, MD 50 Buck Creek Road, Suite 200, Avon, CO 81620 Ph: (970) 926-6340 |
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