Ethan K Fisher, MD - Medicare Anesthesiology in Murray, UT

Ethan K Fisher, MD is a medicare enrolled "Anesthesiology" physician in Murray, Utah. He went to University Of Utah School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Mountain West Anesthesia Llc and his current practice location is 5121 S Cottonwood Street, Intermountain Medical Center, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 507-5248.

Ethan K Fisher is licensed to practice in Utah (license number 96-323265-1205) 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 1073522397.

Contact Information

Ethan K Fisher, MD
5121 S Cottonwood Street, Intermountain Medical Center,
Murray, UT 84157
(801) 507-5248
(801) 733-5618



Physician's Profile

Full NameEthan K Fisher
GenderMale
SpecialityAnesthesiology
Experience32 Years
Location5121 S Cottonwood Street, Murray, Utah
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:
  • Ethan K Fisher attended and graduated from University Of Utah School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1073522397
  • Provider Enumeration Date: 08/05/2006
  • Last Update Date: 10/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0749476109
  • Enrollment ID: I20101124000330

Medical Identifiers

Medical identifiers for Ethan K Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073522397NPI-NPPES
100501227MedicaidID
PRA04837OtherUTMOLINA
1502954OtherUTUMWA
8597445OtherUTWORKERS COMP FUND
112422600MedicaidWY
40044OtherUTPEHP
27753OtherUTHEALTHY U
805478500MedicaidID
870545614FI2OtherUTEDUCATORS MUTUAL
281279OtherUTDMBA
2090168OtherUTUNITED HEALTHCARE
QM0000075886OtherUTALTIUS
107007882102OtherUTIHC
820721MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 96-323265-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Intermountain Medical CenterMurray, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain West Anesthesia Llc9032018502248

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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. Ethan K Fisher allows following entities to bill medicare on his behalf.
Entity NameMountain West Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558391763
PECOS PAC ID: 9032018502
Enrollment ID: O20040103000057

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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. Ethan K 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
Ethan K Fisher, MD
3340 North Center St, #800,
Lehi, UT 84043-7406

Ph: (801) 990-1911
Ethan K Fisher, MD
5121 S Cottonwood Street, Intermountain Medical Center,
Murray, UT 84157

Ph: (801) 507-5248

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Anesthesiology Doctors in Murray, UT

Kendell Ryan Klingler, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 778 E Briarmeadow Ave, Murray, UT 84107
Phone: 208-390-7555    
Jason Hafer, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood St, Murray, UT 84107
Phone: 801-455-8221    
Dr. Jayaprakash Moodalagiriappa, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157
Phone: 801-507-5248    Fax: 801-432-2668
Dr. Michael Marshall Beck, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood St, Murray, UT 84107
Phone: 801-507-7000    Fax: 770-701-6675
Mr. Joshua C Peterson, DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood Street, Murray, UT 84107
Phone: 801-507-7000    Fax: 770-701-6675
Scott Nathan Hurst, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157
Phone: 801-507-5248    Fax: 801-733-5618

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