John W Fisk Jr, MD | |
1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | |
(615) 444-6203 | |
(615) 444-6252 |
Full Name | John W Fisk Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 1407 W Baddour Pkwy, Lebanon, Tennessee |
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 |
---|---|---|---|
1790708097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12113 (Mississippi) | Secondary |
207Q00000X | Family Medicine | 45857 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Merit Health River Oaks | Flowood, MS | Hospital |
Merit Health Madison | Canton, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
River Oaks Management Company Llc | 0345233110 | 37 |
Entity Name | River Oaks Management Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922029040 PECOS PAC ID: 0345233110 Enrollment ID: O20040407000093 |
Entity Name | Flowood River Oaks Hma Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668 |
Mailing Address | Practice Location Address |
---|---|
John W Fisk Jr, MD 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 Ph: (615) 444-6203 | John W Fisk Jr, MD 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 Ph: (615) 444-6203 |
Lauren Uichanco, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-8262 | |
James M Bachstein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Babb Dr, Lebanon, TN 37087 Phone: 615-466-0041 Fax: 615-466-0042 | |
Samuel John Crutcher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-6203 Fax: 615-444-6252 | |
Dr. Thomas P Jaselskis, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 925 E Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-5325 Fax: 615-532-2785 | |
Dr. Roger E Mckinney, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-6203 Fax: 615-444-6252 | |
Dr. James M Reed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-444-6203 Fax: 615-444-6252 | |
Dr. Leslie M Dally, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1405 W Baddour Pkwy Ste 101, Lebanon, TN 37087 Phone: 615-994-1288 Fax: 615-547-4520 |