Dr Mark Bradley Fisher, MD | |
1925 Mountain View Ave, Longmont, CO 80501-3128 | |
(720) 718-8305 | |
(303) 485-3377 |
Full Name | Dr Mark Bradley Fisher |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 23 Years |
Location | 1925 Mountain View Ave, Longmont, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356529028 | NPI | - | NPPES |
036122470 | Medicaid | IL | |
025542 | Other | CO | KAISER COMMERCIAL NUMBER |
61402516 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036122470 (Illinois) | Secondary |
208800000X | Urology | 054743 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Longs Peak Hospital | Longmont, CO | Hospital |
Uchealth Broomfield Hospital | Broomfield, CO | Hospital |
University Of Colorado Hospital Authority | Aurora, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Rocky Mountain Lithotripter Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134202435 PECOS PAC ID: 5395737985 Enrollment ID: O20040401001756 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Bradley Fisher, MD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 718-8305 | Dr Mark Bradley Fisher, MD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 718-8305 |
Dr. Garrick Mcleod Greear, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1925 Mountain View Avenue, Longmont, CO 80501 Phone: 720-718-8305 Fax: 303-485-3377 | |
Dr. Troy James Malcom, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 720-718-8305 Fax: 303-485-3377 |