Dr Keith F Fishe, OD in Decatur, GA - Medicare Optometrist Provider

Dr Keith F Fishe, OD is a medicare enrolled "Optometrist" provider in Decatur, Georgia. His current practice location is 3580 Memorial Dr, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 284-0701.

Dr Keith F Fishe is licensed to practice in Georgia (license number 1157T) 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 1649482274.

Contact Information

	Dr Keith F Fishe, OD
	3580 Memorial Dr, Decatur, GA 30032-2723
	(404) 284-0701
	(404) 284-0703

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keith F Fishe
Gender	Male
Speciality	Optometrist
Location	3580 Memorial Dr, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649482274
Provider Enumeration Date: 05/04/2007
Last Update Date: 10/06/2015

Medicare PECOS Information:

PECOS PAC ID: 1557587474
Enrollment ID: I20140729001495

Medical Identifiers

Medical identifiers for Dr Keith F Fishe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649482274	NPI	-	NPPES
00528844A	Medicaid	GA
00528844B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1157T (Georgia)	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. Dr Keith F Fishe allows following entities to bill medicare on his behalf.

Provider Name	The Eyecare Studio, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215463260 PECOS PAC ID: 6002294659 Enrollment ID: O20220609002345

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. Dr Keith F Fishe 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
Dr Keith F Fishe, OD 2283 North Decatur Rd, Decatur, GA 30030-5423 Ph: (770) 314-3756	Dr Keith F Fishe, OD 3580 Memorial Dr, Decatur, GA 30032-2723 Ph: (404) 284-0701

Reviews and Comments

Optometrist in Decatur, GA

Dr. Nancy Y Truong, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2570 Blackmon Dr Ste 350, Decatur, GA 30033 Phone: 678-846-2000
Dr. Lindsay Johnson Marshburn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 104 Church St, Decatur, GA 30030 Phone: 404-378-3694 Fax: 404-373-0741
Jilka Modi, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2050 Lawrenceville Hwy, Decatur, GA 30033 Phone: 404-325-5300
Dr. Peggy R. Sinkoe, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3479 Memorial Dr, Exhibit A & B, Decatur, GA 30032 Phone: 404-534-1222 Fax: 404-534-1242
Sarah Ann Stevenson Williford, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 Church St, Decatur, GA 30030 Phone: 404-378-3694 Fax: 404-372-0741
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3934 N Druid Hills Rd Ste A, Decatur, GA 30033 Phone: 404-325-5300
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2570 Blackmon Dr., Suite 350, Decatur, GA 30033 Phone: 678-846-2000 Fax: 678-212-5622

Dr Keith F Fishe, OD - Medicare Optometrist in Decatur, GA