Tom Charles Fish Sr, PT - Medicare Physical Therapist in Kernersville, NC

Tom Charles Fish Sr, PT is a medicare enrolled "Physical Therapist" provider in Kernersville, North Carolina. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Kernersville Rehab Specialists, Llc and his current practice location is 1031 E Mountain St, Building 318, Suite 101, Kernersville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 996-4980.

Tom Charles Fish Sr is licensed to practice in North Carolina (license number 8652) 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 1124078464.

Contact Information

Tom Charles Fish Sr, PT
1031 E Mountain St, Building 318, Suite 101,
Kernersville, NC 27284-7997
(336) 996-4980
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTom Charles Fish Sr
GenderMale
SpecialityPhysical Therapy
Experience23 Years
Location1031 E Mountain St, Kernersville, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tom Charles Fish Sr graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1124078464
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 05/15/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8426022377
  • Enrollment ID: I20111109000006

Medical Identifiers

Medical identifiers for Tom Charles Fish Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124078464NPI-NPPES
7211542MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 8652 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kernersville Rehab Specialists, Llc22644061152

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. Tom Charles Fish Sr allows following entities to bill medicare on his behalf.
Provider NameKernersville Rehab Specialists, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1831157833
PECOS PAC ID: 2264406115
Enrollment ID: O20040825000774

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. Tom Charles Fish Sr 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
Tom Charles Fish Sr, PT
1031 E Mountain St, Building 318, Suite 101,
Kernersville, NC 27284-7997

Ph: (336) 996-4980
Tom Charles Fish Sr, PT
1031 E Mountain St, Building 318, Suite 101,
Kernersville, NC 27284-7997

Ph: (336) 996-4980

Reviews and Comments


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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.