John W Fisk Jr, MD - Medicare Family Medicine in Lebanon, TN

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John W Fisk Jr, MD is a medicare enrolled "Family Medicine" physician in Lebanon, Tennessee. His current practice location is 1407 W Baddour Pkwy, Lebanon, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 444-6203.

John W Fisk Jr is licensed to practice in Tennessee (license number 45857) 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 1790708097.

Contact Information

John W Fisk Jr, MD
1407 W Baddour Pkwy,
Lebanon, TN 37087-2513
(615) 444-6203
(615) 444-6252

Map and Direction




Physician's Profile

Full NameJohn W Fisk Jr
GenderMale
SpecialityFamily Medicine
Location1407 W Baddour Pkwy, Lebanon, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790708097
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 12/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8527007509
  • Enrollment ID: I20050428000868

Medical Identifiers

Medical identifiers for John W Fisk Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790708097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 12113 (Mississippi)Secondary
207Q00000XFamily Medicine 45857 (Tennessee)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. John W Fisk Jr allows following entities to bill medicare on his behalf.
Entity NameRiver Oaks Management Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922029040
PECOS PAC ID: 0345233110
Enrollment ID: O20040407000093
Entity NameFlowood River Oaks Hma Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801128798
PECOS PAC ID: 5890825004
Enrollment ID: O20100615000668

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. John W Fisk Jr 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 AddressPractice Location Address
John W Fisk Jr, MD
1407 W Baddour Pkwy,
Lebanon, TN 37087-2513

Ph: (615) 444-6203		John W Fisk Jr, MD
1407 W Baddour Pkwy,
Lebanon, TN 37087-2513

Ph: (615) 444-6203

Reviews and Comments


Family Medicine Doctors in Lebanon, TN

Lauren Uichanco, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1411 W Baddour Pkwy, Lebanon, TN 37087
Phone: 615-444-8262    
James M Bachstein, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 112 Babb Dr, Lebanon, TN 37087
Phone: 615-466-0041    Fax: 615-466-0042
Samuel John Crutcher, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087
Phone: 615-444-6203    Fax: 615-444-6252
Dr. Thomas P Jaselskis, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 925 E Baddour Pkwy, Lebanon, TN 37087
Phone: 615-444-5325    Fax: 615-532-2785
Dr. Roger E Mckinney, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087
Phone: 615-444-6203    Fax: 615-444-6252
Dr. James M Reed, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1407 W Baddour Pkwy, Lebanon, TN 37087
Phone: 615-444-6203    Fax: 615-444-6252
Mr. Gary G. Gallant, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 920 S Hartmann Dr Ste 110, Lebanon, TN 37090
Phone: 615-994-4110    Fax: 615-994-4113

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.