Victor M Fishman, MD | |
10000 Se Main St Ste 112, Portland, OR 97216-2441 | |
(503) 255-3054 | |
Not Available |
Full Name | Victor M Fishman |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 30 Years |
Location | 10000 Se Main St Ste 112, Portland, Oregon |
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 |
---|---|---|---|
1093754285 | NPI | - | NPPES |
0016923960006 | Medicaid | PA | |
110228089 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | MD210180 (Oregon) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | MD060269L (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Northern Light Mercy Hospital | Portland, ME | Hospital |
Southern Maine Health Care | Biddeford, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Hospital | 6103737812 | 229 |
Entity Name | Mercy Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
Entity Name | Mainehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Entity Name | Southern Maine Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659392819 PECOS PAC ID: 0143208348 Enrollment ID: O20040713001060 |
Mailing Address | Practice Location Address |
---|---|
Victor M Fishman, MD 6451 N Federal Hwy Ste 800, Fort Lauderdale, FL 33308-1409 Ph: () - | Victor M Fishman, MD 10000 Se Main St Ste 112, Portland, OR 97216-2441 Ph: (503) 255-3054 |
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