Dr Thomas Maxwell Fissenden, MD is a medicare enrolled "Otolaryngology" physician in Greeley, Colorado. He went to Drexel University College Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Innovis Health Llc and his current practice location is
5881 W 16th St, Greeley, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 313-2740.
Dr Thomas Maxwell Fissenden is licensed to practice in Colorado (license number DR.0056808) 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 1851682090.
Physician's Profile
| Full Name | Dr Thomas Maxwell Fissenden |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 14 Years |
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| Location | 5881 W 16th St, Greeley, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Thomas Maxwell Fissenden attended and graduated from Drexel University College Of Medicine in 2011
NPI Data:
- NPI Number: 1851682090
- Provider Enumeration Date: 04/21/2011
- Last Update Date: 06/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406147289
- Enrollment ID: I20220629003691
Medical Identifiers
Medical identifiers for Dr Thomas Maxwell Fissenden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851682090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | 18530 (North Dakota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | DR.0056808 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Innovis Health Llc | 9931298155 | 509 |
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. Dr Thomas Maxwell Fissenden allows following entities to bill medicare on his behalf.
| Entity Name | Altru Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
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| Entity Name | Innovis Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
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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. Dr Thomas Maxwell Fissenden 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 |
Dr Thomas Maxwell Fissenden, MD 5881 W 16th St, Greeley, CO 80634-2910 Ph: (970) 313-2740 | Dr Thomas Maxwell Fissenden, MD 5881 W 16th St, Greeley, CO 80634-2910 Ph: (970) 313-2740 |
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