| Dr Scot A Fisher, DO | |
| 
					10800 Knights Rd, Philadelphia, PA 19114-4200  | |
| (215) 612-4000 | |
| (215) 612-4350 | 
| Full Name | Dr Scot A Fisher | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Radiation Oncology | 
| Location | 10800 Knights Rd, Philadelphia, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780606202 | NPI | - | NPPES | 
| 001099044 | Medicaid | PA | |
| 2393701 | Medicaid | NJ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | OS-005062-L (Pennsylvania) | Primary | 
| Entity Name | Jefferson University Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Scot A Fisher, DO 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: () -  | Dr Scot A Fisher, DO 10800 Knights Rd, Philadelphia, PA 19114-4200 Ph: (215) 612-4000  | 
Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005  | |
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389  | |
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011  | |
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011  | |
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562  | |
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005  | |
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627  |