| Dr Thomas David Fisher, MD | |
|
209 West 27th Street, Lumberton, NC 28358-3016 | |
| (910) 738-8222 | |
| (910) 671-0846 |
| Full Name | Dr Thomas David Fisher |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 209 West 27th Street, Lumberton, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629151261 | NPI | - | NPPES |
| 4522353 | Medicaid | MI | |
| DD4837 | Other | MI | MEDICARE RR GROUP PIN |
| 310A710590 | Other | MI | BCBS GROUP PIN |
| 5913863 | Medicaid | NC | |
| 156P8 | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301081014 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2010-00013 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marquette General Hospital | Marquette, MI | Hospital |
| Medical Center Of Trinity | Trinity, FL | Hospital |
| Oak Hill Hospital | Brooksville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imaging Associates Of Michigan Pllc | 9537434386 | 105 |
| Imaging Associates Of Michigan Pllc | 9537434386 | 105 |
| Entity Name | Imaging Associates Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164943007 PECOS PAC ID: 9537434386 Enrollment ID: O20171005000049 |
| Entity Name | Coastal Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144270307 PECOS PAC ID: 8224002696 Enrollment ID: O20200305001748 |
| Entity Name | Greensboro Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20200731002581 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas David Fisher, MD P.o. Box 1527, Lumberton, NC 28359-1527 Ph: (910) 738-8222 | Dr Thomas David Fisher, MD 209 West 27th Street, Lumberton, NC 28358-3016 Ph: (910) 738-8222 |
Thomas Lorenzo Walden Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1200 Pine Run Dr, Lumberton, NC 28358 Phone: 910-671-5730 Fax: 910-671-5732 | |
Dr. Andrew Edward Simays, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 | |
Mack Ira Mcclain, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 | |
Robert J Cherichella, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 304 Grande Oak Blvd W, Suite B, Lumberton, NC 28358 Phone: 910-674-4579 Fax: 910-674-4579 | |
Jeffrey E. Zapawa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-671-5000 | |
George Hurst Provosty, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 209 West 27th Street, Lumberton, NC 28358 Phone: 910-738-8222 Fax: 910-671-0846 |