Dr Jay Douglas Fisher, MD | |
3020 Childrens Way, San Diego, CA 92123-4223 | |
(858) 966-8800 | |
Not Available |
Full Name | Dr Jay Douglas Fisher |
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Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 3020 Childrens Way, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629118518 | NPI | - | NPPES |
2019425 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 6624 (Nevada) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | G88903 (California) | Primary |
Entity Name | Sound Physicians Emergency Medicine Of Nevada Bessler Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881151231 PECOS PAC ID: 1254666993 Enrollment ID: O20190717001801 |
Mailing Address | Practice Location Address |
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Dr Jay Douglas Fisher, MD 3020 Childrens Way # Mc5003, San Diego, CA 92123-4223 Ph: (858) 309-6300 | Dr Jay Douglas Fisher, MD 3020 Childrens Way, San Diego, CA 92123-4223 Ph: (858) 966-8800 |
Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818 | |
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818 | |
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416 | |
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969 | |
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785 | |
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847 | |
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082 |