Kenneth J Fish Sr, DO | |
3 Bridge Street, Suite 3, Carthage, NY 13619 | |
(315) 493-7334 | |
(315) 493-1811 |
Full Name | Kenneth J Fish Sr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 3 Bridge Street, Carthage, New York |
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 |
---|---|---|---|
1912972423 | NPI | - | NPPES |
196957660 | Other | NY | STATE ISSUED ID NUMBER |
01079116 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 172139 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Samaritan Home Health, Inc | Watertown, NY | Home health agency |
Jefferson Co Pub Hlth Svs Chha | Watertown, NY | Home health agency |
Hospice Of Jefferson Co/palliative Care Of Jeffers | Watertown, NY | Hospice |
Carthage Area Hospital, Inc | Carthage, NY | Hospital |
Samaritan Medical Center | Watertown, NY | Hospital |
Lewis County General Hospital | Lowville, NY | Hospital |
River Hospital Clinics | Alexandria bay, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Practice Associates Pc | 5890684500 | 3 |
Entity Name | Family Practice Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669514592 PECOS PAC ID: 5890684500 Enrollment ID: O20040311000971 |
Mailing Address | Practice Location Address |
---|---|
Kenneth J Fish Sr, DO 3 Bridge Street, Suite 3, Carthage, NY 13619 Ph: (315) 493-7334 | Kenneth J Fish Sr, DO 3 Bridge Street, Suite 3, Carthage, NY 13619 Ph: (315) 493-7334 |
Lawrence M Manion, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 214 Church St, Carthage, NY 13619 Phone: 315-493-0128 Fax: 315-493-6200 | |
Dr. Hardik Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 N Mechanic St, Carthage, NY 13619 Phone: 315-493-4187 Fax: 315-493-4188 | |
Dr. Sultan Mahmood Imdad, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Carthage Area Hospital, Bridge Street, Carthage, NY 13619 Phone: 315-493-4180 | |
Jocelyn C Beane, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 Church St, Carthage, NY 13619 Phone: 315-493-0128 Fax: 315-493-6200 |