Dr Sidney Mark Fishman, MD is a medicare enrolled "Otolaryngology - Otolaryngic Allergy" physician in Los Alamitos, California. His current practice location is
3801 Katella Ave, Ste 425, Los Alamitos, California. You can reach out to his office (for appointments etc.) via phone at
(562) 596-2925.
Dr Sidney Mark Fishman is licensed to practice in California (license number AF7229455) 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 1417953043.
Physician's Profile
| Full Name | Dr Sidney Mark Fishman |
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| Gender | Male |
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| Speciality | Otolaryngology - Otolaryngic Allergy |
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| Location | 3801 Katella Ave, Los Alamitos, California |
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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: 1417953043
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 04/27/2010
Medicare PECOS Information:
- PECOS PAC ID: 1850335548
- Enrollment ID: I20050614000590
Medical Identifiers
Medical identifiers for Dr Sidney Mark Fishman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417953043 | NPI | - | NPPES |
| 00G305900 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | AF7229455 (California) | Secondary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | AF7229455 (California) | Primary |
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | AF7229455 (California) | Secondary |
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 Sidney Mark Fishman allows following entities to bill medicare on his behalf.
| Entity Name | Todd C Miller Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194176081
PECOS PAC ID: 3577850775
Enrollment ID: O20160930001328 |
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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 Sidney Mark 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 Sidney Mark Fishman, MD
3801 Katella Ave, Ste 425,
Los Alamitos, CA 90720-6901
Ph: (562) 596-2925 | Dr Sidney Mark Fishman, MD
3801 Katella Ave, Ste 425,
Los Alamitos, CA 90720-6901
Ph: (562) 596-2925 |
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