| Blue Mountain Medicine Pllc | |
|
150 S Caldwell St Brevard NC 28712-3602 | |
| (828) 883-4040 | |
| (828) 883-4060 |
| Full Name | Blue Mountain Medicine Pllc |
|---|---|
| Speciality | General Practice |
| Location | 150 S Caldwell St, Brevard, North Carolina |
| Authorized Official Name and Position | Anthony L Fisher (MD) |
| Authorized Official Contact | 8288834040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Medicine Pllc 150 S Caldwell St Brevard NC 28712 Ph: (828) 883-4040 | Blue Mountain Medicine Pllc 150 S Caldwell St Brevard NC 28712-3602 Ph: (828) 883-4040 |
| NPI Number | 1245669662 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 12/30/2019 |
| Medicare PECOS PAC ID | 5294163820 |
|---|---|
| Medicare Enrollment ID | O20200313002170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245669662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 9701350 (North Carolina) | Primary |
| Provider Name | Anthony Lee Fisher |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235184771 PECOS PAC ID: 6800806266 Enrollment ID: I20200313002173 |
| Provider Name | Melissa Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083264584 PECOS PAC ID: 7618307695 Enrollment ID: I20200414002864 |
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