Jack Elliott Fisher, DPM is a
Podiatrist based in Gilroy, California. Jack Elliott Fisher is licensed to practice in California (license number E1702) and his current practice location is
8o 5th St, Gilroy, California. He can be reached at his office (for appointments etc.) via phone at
(408) 842-0281.
NPI number for Jack Elliott Fisher is 1629072392 and his current mailing address is 8o 5th St, Gilroy, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629072392.
Healthcare Provider's Profile
Full Name | Jack Elliott Fisher |
---|
Gender | Male |
---|
Speciality | Podiatrist |
---|
Location | 8o 5th St, Gilroy, California |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629072392
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 08/27/2014
Medical Identifiers
Medical identifiers for Jack Elliott Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629072392 | NPI | - | NPPES |
E1702 | Other | CA | MEDICAL LICENSE |
1629072392 | Other | CA | INDIVIDUAL NPI |
1780794644 | Other | CA | ENTITY NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0131X | Podiatrist - Foot Surgery | E1702 (California) | Secondary |
213E00000X | Podiatrist | E1702 (California) | Primary |
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. Jack Elliott Fisher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jack Elliott Fisher, DPM 8o 5th St, Gilroy, CA 95020-5748 Ph: (408) 842-0281 | Jack Elliott Fisher, DPM 8o 5th St, Gilroy, CA 95020-5748 Ph: (408) 842-0281 |
Reviews and Comments