Jeremy Gabriel Fisher, MD in Chattanooga, TN

Jeremy Gabriel Fisher, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Chattanooga, Tennessee. His current practice location is 979 E 3rd St Ste 300, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 267-0466.

Jeremy Gabriel Fisher is licensed to practice in Tennessee (license number 61514) 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 1134363518.

Contact Information

	Jeremy Gabriel Fisher, MD
	979 E 3rd St Ste 300, Chattanooga, TN 37403-2187
	(423) 267-0466
	(423) 778-5177

Map and Direction

Physician's Profile

Full Name	Jeremy Gabriel Fisher
Gender	Male
Speciality	Surgery - Pediatric Surgery
Location	979 E 3rd St Ste 300, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134363518
Provider Enumeration Date: 04/28/2009
Last Update Date: 09/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8820224181
Enrollment ID: I20200930002744

Medical Identifiers

Medical identifiers for Jeremy Gabriel Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134363518	NPI	-	NPPES
0292539	Medicaid	OH
Q060604	Medicaid	TN
H635870	Other	OH	CGS-MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0120X	Surgery - Pediatric Surgery	35.128754 (Ohio)	Secondary
2086S0120X	Surgery - Pediatric Surgery	61514 (Tennessee)	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. Jeremy Gabriel Fisher allows following entities to bill medicare on his behalf.

Entity Name	University Surgical Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972520963 PECOS PAC ID: 0547242521 Enrollment ID: O20040603000488

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. Jeremy Gabriel 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
Jeremy Gabriel Fisher, MD 979 E 3rd St Ste 300, Chattanooga, TN 37403-2187 Ph: (423) 267-0466	Jeremy Gabriel Fisher, MD 979 E 3rd St Ste 300, Chattanooga, TN 37403-2187 Ph: (423) 267-0466

Reviews and Comments

Surgery Doctors in Chattanooga, TN

Dr. Julie Ann Koffron, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404 Phone: 423-267-0466 Fax: 423-778-5177
Dr. Daniel Franklin Fisher Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2108 E 3rd St, Suite 200, Chattanooga, TN 37404 Phone: 423-267-0466 Fax: 423-778-8212
Dr. Jason Paul Rehm, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St, Suite C920, Chattanooga, TN 37403 Phone: 423-756-7134 Fax: 423-763-4571
Dr. Michael Everett Barfield, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404 Phone: 423-267-0466 Fax: 423-778-5177
Dr. Cauley W Hayes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 979 E 3rd St, Suite C920, Chattanooga, TN 37403 Phone: 423-756-7134 Fax: 423-763-4571
William Buckley Lyman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404 Phone: 423-267-0466
Dr. Benjamin W Dart Iv, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 979 E 3rd St, Ste 300, Chattanooga, TN 37403 Phone: 423-267-0466 Fax: 423-757-0775

Jeremy Gabriel Fisher, MD - Medicare Surgery in Chattanooga, TN