Carla Anna Fisher, MD is a medicare enrolled "Dermatology" physician in Petaluma, California. Her current practice location is
165 Lynch Creek Way, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at
(707) 762-5531.
Carla Anna Fisher is licensed to practice in California (license number G63183) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215934096.
Physician's Profile
| Full Name | Carla Anna Fisher |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 165 Lynch Creek Way, Petaluma, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215934096
- Provider Enumeration Date: 07/07/2005
- Last Update Date: 02/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 9537216163
- Enrollment ID: I20090505000180
Medical Identifiers
Medical identifiers for Carla Anna Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215934096 | NPI | - | NPPES |
| G63183 | Other | CA | LICENSE NUMBER |
| 070016604 | Other | CA | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | G63183 (California) | 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. Carla Anna Fisher allows following entities to bill medicare on her behalf.
| Entity Name | Eitan Homa Md And Jennifer Krasnoff Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164514881
PECOS PAC ID: 5890735856
Enrollment ID: O20050509001051 |
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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. Carla Anna 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 |
|---|
Carla Anna Fisher, MD
500 Alfred Nobel Dr, Suite 245,
Hercules, CA 94547-1838
Ph: (510) 741-7299 | Carla Anna Fisher, MD
165 Lynch Creek Way,
Petaluma, CA 94954-2343
Ph: (707) 762-5531 |
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