Dr Mark Bradley Fisher, MD - Medicare Urology in Longmont, CO

Dr Mark Bradley Fisher, MD is a medicare enrolled "Urology" physician in Longmont, Colorado. He went to Wayne State University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Urology. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is 1925 Mountain View Ave, Longmont, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 718-8305.

Dr Mark Bradley Fisher is licensed to practice in Colorado (license number 054743) 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 1356529028.

Contact Information

Dr Mark Bradley Fisher, MD
1925 Mountain View Ave,
Longmont, CO 80501-3128
(720) 718-8305
(303) 485-3377



Physician's Profile

Full NameDr Mark Bradley Fisher
GenderMale
SpecialityUrology
Experience23 Years
Location1925 Mountain View Ave, Longmont, Colorado
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:
  • Dr Mark Bradley Fisher attended and graduated from Wayne State University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1356529028
  • Provider Enumeration Date: 02/05/2008
  • Last Update Date: 04/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840368361
  • Enrollment ID: I20150324001946

Medical Identifiers

Medical identifiers for Dr Mark Bradley Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356529028NPI-NPPES
036122470MedicaidIL
025542OtherCOKAISER COMMERCIAL NUMBER
61402516MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 036122470 (Illinois)Secondary
208800000XUrology 054743 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Longs Peak HospitalLongmont, COHospital
Uchealth Broomfield HospitalBroomfield, COHospital
University Of Colorado Hospital AuthorityAurora, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poudre Valley Medical Group Llc96382085491605

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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. Dr Mark Bradley Fisher allows following entities to bill medicare on his behalf.
Entity NameRocky Mountain Lithotripter Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134202435
PECOS PAC ID: 5395737985
Enrollment ID: O20040401001756

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Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

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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. Dr Mark Bradley Fisher 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
Dr Mark Bradley Fisher, MD
1925 Mountain View Ave,
Longmont, CO 80501-3128

Ph: (720) 718-8305
Dr Mark Bradley Fisher, MD
1925 Mountain View Ave,
Longmont, CO 80501-3128

Ph: (720) 718-8305

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Urology Doctors in Longmont, CO

Dr. Troy James Malcom, D.O.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1925 Mountain View Ave, Longmont, CO 80501
Phone: 720-718-8305    Fax: 303-485-3377

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