Dr Thomas David Fisher, MD | |
209 West 27th Street, Lumberton, NC 28358-3016 | |
(910) 738-8222 | |
(910) 671-0846 |
Full Name | Dr Thomas David Fisher |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 29 Years |
Location | 209 West 27th Street, Lumberton, North Carolina |
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 |
---|---|---|---|
1629151261 | NPI | - | NPPES |
4522353 | Medicaid | MI | |
DD4837 | Other | MI | MEDICARE RR GROUP PIN |
310A710590 | Other | MI | BCBS GROUP PIN |
5913863 | Medicaid | NC | |
156P8 | Other | NC | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301081014 (Michigan) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 2010-00013 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carolina East Medical Center | New bern, NC | Hospital |
Onslow Memorial Hospital | Jacksonville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greensboro Radiology Pa | 8729074901 | 218 |
Coastal Carolina Health Care Pa | 9739087693 | 111 |
Entity Name | Coastal Carolina Health Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780623207 PECOS PAC ID: 9739087693 Enrollment ID: O20031230000224 |
Entity Name | Greensboro Radiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20040422001214 |
Entity Name | Imaging Associates Of Michigan Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164943007 PECOS PAC ID: 9537434386 Enrollment ID: O20181228000695 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas David Fisher, MD P.o. Box 1527, Lumberton, NC 28359-1527 Ph: (910) 738-8222 | Dr Thomas David Fisher, MD 209 West 27th Street, Lumberton, NC 28358-3016 Ph: (910) 738-8222 |
Thomas Lorenzo Walden Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 Pine Run Dr, Lumberton, NC 28358 Phone: 910-671-5730 Fax: 910-671-5732 | |
Dr. Andrew Edward Simays, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 | |
Mack Ira Mcclain, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 | |
Robert J Cherichella, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 304 Grande Oak Blvd W, Suite B, Lumberton, NC 28358 Phone: 910-674-4579 Fax: 910-674-4579 | |
George Hurst Provosty, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 | |
Boyd Bennett Gasque Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 |