Dane Andrew Fisher, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jb Langley-eustis, Virginia. His current practice location is
633 Mdg Nealy Avenue, Jb Langley-eustis, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 225-7630.
Dane Andrew Fisher is licensed to practice in Virginia (license number 0101262898) 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 1730545120.
Physician's Profile
Full Name | Dane Andrew Fisher |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 633 Mdg Nealy Avenue, Jb Langley-eustis, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730545120
- Provider Enumeration Date: 01/14/2016
- Last Update Date: 03/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284928037
- Enrollment ID: I20230131001214
Medical Identifiers
Medical identifiers for Dane Andrew Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730545120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | A180422 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 0101262898 (Virginia) | 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. Dane Andrew Fisher allows following entities to bill medicare on his behalf.
Entity Name | University Of California San Francisco |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897 |
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Entity Name | Ucsf Medical Group Business Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513 |
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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. Dane Andrew 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 |
Dane Andrew Fisher, MD 633 Mdg Nealy Avenue, Jb Langley-eustis, VA 23665-2040 Ph: () - | Dane Andrew Fisher, MD 633 Mdg Nealy Avenue, Jb Langley-eustis, VA 23665-2040 Ph: (757) 225-7630 |
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