Kasey Jo Fishley, AGNP-C is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Mineral City, Ohio. Her current practice location is
Po Box 453, Mineral City, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 204-4608.
Kasey Jo Fishley is licensed to practice in Ohio (license number APRN.CNP.0038313) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932918240.
Physician's Profile
Full Name | Kasey Jo Fishley |
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Gender | Female |
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Speciality | Family Medicine - Geriatric Medicine |
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Location | Po Box 453, Mineral City, Ohio |
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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: 1932918240
- Provider Enumeration Date: 01/01/2025
- Last Update Date: 01/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355862855
- Enrollment ID: I20250312001514
Medical Identifiers
Medical identifiers for Kasey Jo Fishley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932918240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QG0300X | Family Medicine - Geriatric Medicine | APRN.CNP.0038313 (Ohio) | 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. Kasey Jo Fishley allows following entities to bill medicare on her behalf.
Entity Name | Aultman Cancer Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043883028 PECOS PAC ID: 0143611897 Enrollment ID: O20220106002578 |
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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. Kasey Jo Fishley 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 |
Kasey Jo Fishley, AGNP-C Po Box 453, Mineral City, OH 44656-0453 Ph: (330) 204-4608 | Kasey Jo Fishley, AGNP-C Po Box 453, Mineral City, OH 44656-0453 Ph: (330) 204-4608 |
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