Dr Roderick John Fisette, MD is a medicare enrolled "General Practice" physician in Bridge City, Texas. His current practice location is
1200 Turner Dr, Bridge City, Texas. You can reach out to his office (for appointments etc.) via phone at
(409) 221-1500.
Dr Roderick John Fisette is licensed to practice in Texas (license number D6746) 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 1477948420.
Physician's Profile
Full Name | Dr Roderick John Fisette |
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Gender | Male |
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Speciality | General Practice |
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Location | 1200 Turner Dr, Bridge City, Texas |
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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: 1477948420
- Provider Enumeration Date: 04/06/2015
- Last Update Date: 04/06/2015
Medicare PECOS Information:
- PECOS PAC ID: 3476854415
- Enrollment ID: I20151217000685
Medical Identifiers
Medical identifiers for Dr Roderick John Fisette such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477948420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | D6746 (Texas) | 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 Roderick John Fisette 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 Roderick John Fisette, MD Po Box 296, Bridge City, TX 77611-0296 Ph: (409) 221-1500 | Dr Roderick John Fisette, MD 1200 Turner Dr, Bridge City, TX 77611-2612 Ph: (409) 221-1500 |
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