Justin Lee Fischer, PT is a medicare enrolled "Physical Therapist" physician in Lynnwood, Washington. His current practice location is
20200 54th Ave W, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 672-6400.
Justin Lee Fischer is licensed to practice in California (license number 36174) 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 1275762338.
Physician's Profile
| Full Name | Justin Lee Fischer |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 20200 54th Ave W, Lynnwood, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275762338
- Provider Enumeration Date: 07/10/2009
- Last Update Date: 08/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234328055
- Enrollment ID: I20210928002418
Medical Identifiers
Medical identifiers for Justin Lee Fischer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275762338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 5995 (Oregon) | Secondary |
| 225100000X | Physical Therapist | PT60323144 (Washington) | Secondary |
| 225100000X | Physical Therapist | 36174 (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. Justin Lee Fischer allows following entities to bill medicare on his behalf.
| Entity Name | Kaiser Foundation Health Plan Of Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454 |
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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. Justin Lee Fischer 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 |
|---|
Justin Lee Fischer, PT
20200 54th Ave W,
Lynnwood, WA 98036-6318
Ph: (425) 672-6400 | Justin Lee Fischer, PT
20200 54th Ave W,
Lynnwood, WA 98036-6318
Ph: (425) 672-6400 |
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