Brian Fisak, PHD in Orlando, FL - Medicare Psychologist Provider

Brian Fisak, PHD is a medicare enrolled "Psychologist - Counseling" provider in Orlando, Florida. His current practice location is 736 N Magnolia Ave, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 423-7149.

Brian Fisak is licensed to practice in * (Not Available) (license number ) 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 1811687981.

Contact Information

	Brian Fisak, PHD
	736 N Magnolia Ave, Orlando, FL 32803-3809
	(407) 423-7149
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brian Fisak
Gender	Male
Speciality	Psychologist - Counseling
Location	736 N Magnolia Ave, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811687981
Provider Enumeration Date: 05/11/2023
Last Update Date: 05/11/2023

Medicare PECOS Information:

PECOS PAC ID: 0547602468
Enrollment ID: I20240523002333

Medical Identifiers

Medical identifiers for Brian Fisak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811687981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	(* (Not Available))	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. Brian Fisak allows following entities to bill medicare on his behalf.

Entity Name	Advanced Psychiatric Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316016637 PECOS PAC ID: 0446556716 Enrollment ID: O20160311002091

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. Brian Fisak 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
Brian Fisak, PHD 736 N Magnolia Ave, Orlando, FL 32803-3809 Ph: (407) 423-7149	Brian Fisak, PHD 736 N Magnolia Ave, Orlando, FL 32803-3809 Ph: (407) 423-7149

Reviews and Comments

Psychologist in Orlando, FL

Dr. Kimberly Ann Kirkpatrick Justice, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1483 Lake Baldwin Ln, Suite A, Orlando, FL 32814 Phone: 321-422-0145 Fax: 949-266-1670
Dr. Timothy Eugene Spruill, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7975 Lake Underhill Rd, Suite 210, Orlando, FL 32822 Phone: 407-303-6830 Fax: 407-303-8659
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Dr. Carmen C Capella, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1400 N Semoran Blvd Ste E, Orlando, FL 32807 Phone: 407-823-8421 Fax: 407-823-8195
Idalee Melendez, PSY. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4011 Andover Cay Blvd, Orlando, FL 32825 Phone: 407-346-8182
Yamira Ayala, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6150 Metrowest Blvd, Orlando, FL 32835 Phone: 407-730-3837 Fax: 407-730-3869
Dr. Manuel Jesus Herrera Legon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13800 Veterans Way, Orlando, FL 32827 Phone: 407-538-2268

Brian Fisak, PHD - Medicare Psychologist in Orlando, FL