| Kenneth J Fish Sr, DO | |
|
3 Bridge Street, Suite 3, Carthage, NY 13619 | |
| (315) 493-7334 | |
| (315) 493-1811 |
| Full Name | Kenneth J Fish Sr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 3 Bridge Street, Carthage, New York |
| 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 |
|---|---|---|---|
| 1912972423 | NPI | - | NPPES |
| 196957660 | Other | NY | STATE ISSUED ID NUMBER |
| 01079116 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 172139 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Co Pub Hlth Svs Chha | Watertown, NY | Home health agency |
| Hospice Of Jefferson Co/palliative Care Of Jeffers | Watertown, NY | Hospice |
| Carthage Area Hospital, Inc | Carthage, NY | Hospital |
| Samaritan Medical Center | Watertown, NY | Hospital |
| Lewis County General Hospital | Lowville, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Practice Associates Pc | 5890684500 | 3 |
| Entity Name | Family Practice Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669514592 PECOS PAC ID: 5890684500 Enrollment ID: O20040311000971 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Fish Sr, DO 3 Bridge Street, Suite 3, Carthage, NY 13619 Ph: (315) 493-7334 | Kenneth J Fish Sr, DO 3 Bridge Street, Suite 3, Carthage, NY 13619 Ph: (315) 493-7334 |
Lawrence M Manion, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 214 Church St, Carthage, NY 13619 Phone: 315-493-0128 Fax: 315-493-6200 | |
Dr. Hardik Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 N Mechanic St, Carthage, NY 13619 Phone: 315-493-4187 Fax: 315-493-4188 | |
Jocelyn C Beane, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 Church St, Carthage, NY 13619 Phone: 315-493-0128 Fax: 315-493-6200 |