Bradley Fisher, FNP-C - Medicare Nurse Practitioner in Tyler, TX

Bradley Fisher, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tyler, Texas. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice East Texas Functional Medicine Center Llc and his current practice location is 419 Wsw Loop 323 Ste 400, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 595-8077.

Bradley Fisher is licensed to practice in Texas (license number 1030649) 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 1033703749.

Contact Information

Bradley Fisher, FNP-C
419 Wsw Loop 323 Ste 400,
Tyler, TX 75701-7063
(903) 595-8077
Not Available

Map and Direction




Provider's Profile

Full NameBradley Fisher
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location419 Wsw Loop 323 Ste 400, Tyler, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradley Fisher graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1033703749
  • Provider Enumeration Date: 02/23/2021
  • Last Update Date: 02/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638578081
  • Enrollment ID: I20210604001281

Medical Identifiers

Medical identifiers for Bradley Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033703749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1030649 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Texas Functional Medicine Center Llc79113194963

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. Bradley Fisher allows following entities to bill medicare on his behalf.
Entity NameEast Texas Functional Medicine Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245847672
PECOS PAC ID: 7911319496
Enrollment ID: O20201208001745

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. Bradley 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 AddressPractice Location Address
Bradley Fisher, FNP-C
419 Wsw Loop 323 Ste 400,
Tyler, TX 75701-7063

Ph: (903) 372-7308
Bradley Fisher, FNP-C
419 Wsw Loop 323 Ste 400,
Tyler, TX 75701-7063

Ph: (903) 595-8077

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.