Jonathan Donald Fisher, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Ponderay, Idaho. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Michael R Dibenedetto Md Pllc, Pend Oreille County Public Hospital District No 1 and his current practice location is
30544 Highway 200, Suite 102, Ponderay, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 265-9817.
Jonathan Donald Fisher is licensed to practice in Idaho (license number P-198) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891969606.
Healthcare Provider's Profile
| Full Name | Jonathan Donald Fisher |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 20 Years |
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| Location | 30544 Highway 200, Ponderay, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jonathan Donald Fisher graduated from medical school in 2004
NPI Data:
- NPI Number: 1891969606
- Provider Enumeration Date: 04/14/2008
- Last Update Date: 06/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315011319
- Enrollment ID: I20080809000066
Medical Identifiers
Medical identifiers for Jonathan Donald Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891969606 | NPI | - | NPPES |
| P2448 | Other | ID | BLUE CROSS |
| 808011000 | Medicaid | ID | |
| 1100300 | Other | ID | MEDICARE |
| 000010167109 | Other | ID | REGENCE BLUE SHIELD |
| P00638389 | Other | ID | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | P-198 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Michael R Dibenedetto Md Pllc | 0840385670 | 7 |
| Pend Oreille County Public Hospital District No 1 | 3274431184 | 21 |
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. Jonathan Donald Fisher allows following entities to bill medicare on his behalf.
| Provider Name | Michael R Dibenedetto Md Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1083809727
PECOS PAC ID: 0840385670
Enrollment ID: O20071009000187 |
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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. Jonathan Donald Fisher 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 |
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Jonathan Donald Fisher, DPM
30544 Highway 200, Suite 102,
Ponderay, ID 83852-5005
Ph: (208) 265-9817 | Jonathan Donald Fisher, DPM
30544 Highway 200, Suite 102,
Ponderay, ID 83852-5005
Ph: (208) 265-9817 |
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