Kevin Andrew Fisher, MD | |
2500 W 12th St, Erie, PA 16505-4508 | |
(814) 838-9000 | |
(814) 838-0462 |
Full Name | Kevin Andrew Fisher |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 2500 W 12th St, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073505244 | NPI | - | NPPES |
00G490700 | Medicaid | CA | |
102710446 | Medicaid | PA | |
P00681332 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | G49070 (California) | Secondary |
2085R0001X | Radiology - Radiation Oncology | MD445161 (Pennsylvania) | Primary |
Entity Name | University Of Pittsburgh Cancer Institute Cancer Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427025840 PECOS PAC ID: 6709771587 Enrollment ID: O20040219000811 |
Mailing Address | Practice Location Address |
---|---|
Kevin Andrew Fisher, MD 2500 W 12th St, Erie, PA 16505-4508 Ph: (814) 838-9000 | Kevin Andrew Fisher, MD 2500 W 12th St, Erie, PA 16505-4508 Ph: (814) 838-9000 |
Floyd Hyatt, Radiology Medicare: Medicare Enrolled Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-6182 | |
Bharath Kumar Chinta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 232 W 25th St, Erie, PA 16544 Phone: 814-452-5000 | |
Thomas J Wilkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2620 Sigsbee St, Erie, PA 16508 Phone: 814-454-4599 Fax: 814-454-4503 | |
Rachel Anne Lagos, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-6182 Fax: 814-877-6149 | |
Aaron Rucks, Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 State St Fl 4, Erie, PA 16507 Phone: 814-877-6370 | |
Margaret Glenn, Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 State St Ste 108, 1st Floor Suite 108, Erie, PA 16507 Phone: 814-877-5560 |