Dr Stuart Fisher, MD is a medicare enrolled "Urology" physician in North Hollywood, California. His current practice location is
12922 Victory Blvd, Assuta Family Medical Group Apmc, North Hollywood, California. You can reach out to his office (for appointments etc.) via phone at
(818) 760-2800.
Dr Stuart Fisher is licensed to practice in California (license number C30650) 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 1306882618.
Physician's Profile
Full Name | Dr Stuart Fisher |
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Gender | Male |
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Speciality | Urology |
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Location | 12922 Victory Blvd, North Hollywood, California |
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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: 1306882618
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 12/15/2011
Medicare PECOS Information:
- PECOS PAC ID: 3072541911
- Enrollment ID: I20050801000959
Medical Identifiers
Medical identifiers for Dr Stuart Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306882618 | NPI | - | NPPES |
C30650 | Other | CA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | C30650 (California) | 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 Stuart Fisher allows following entities to bill medicare on his behalf.
Entity Name | Urology Cancer Specialists A Professional Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619084316 PECOS PAC ID: 1759333602 Enrollment ID: O20050218000379 |
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Entity Name | New Century Institute For Urology & Andrology A.p.m.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639468093 PECOS PAC ID: 2860657079 Enrollment ID: O20120712000649 |
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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 Stuart Fisher 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 Stuart Fisher, MD 12922 Victory Blvd, Assuta Family Medical Group Apmc, North Hollywood, CA 91606-2924 Ph: (818) 760-2800 | Dr Stuart Fisher, MD 12922 Victory Blvd, Assuta Family Medical Group Apmc, North Hollywood, CA 91606-2924 Ph: (818) 760-2800 |
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