Jeremy Gabriel Fisher, MD - Medicare Surgery in Chattanooga, TN

Jeremy Gabriel Fisher, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Chattanooga, Tennessee. His current practice location is 979 E 3rd St Ste 300, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 267-0466.

Jeremy Gabriel Fisher is licensed to practice in Tennessee (license number 61514) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134363518.

Contact Information

Jeremy Gabriel Fisher, MD
979 E 3rd St Ste 300,
Chattanooga, TN 37403-2187
(423) 267-0466
(423) 778-5177



Physician's Profile

Full NameJeremy Gabriel Fisher
GenderMale
SpecialitySurgery - Pediatric Surgery
Location979 E 3rd St Ste 300, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134363518
  • Provider Enumeration Date: 04/28/2009
  • Last Update Date: 09/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820224181
  • Enrollment ID: I20200930002744

Medical Identifiers

Medical identifiers for Jeremy Gabriel Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134363518NPI-NPPES
0292539MedicaidOH
Q060604MedicaidTN
H635870OtherOHCGS-MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 35.128754 (Ohio)Secondary
2086S0120XSurgery - Pediatric Surgery 61514 (Tennessee)Primary

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. Jeremy Gabriel Fisher allows following entities to bill medicare on his behalf.
Entity NameUniversity Surgical Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972520963
PECOS PAC ID: 0547242521
Enrollment ID: O20040603000488

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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. Jeremy Gabriel 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
Jeremy Gabriel Fisher, MD
979 E 3rd St Ste 300,
Chattanooga, TN 37403-2187

Ph: (423) 267-0466
Jeremy Gabriel Fisher, MD
979 E 3rd St Ste 300,
Chattanooga, TN 37403-2187

Ph: (423) 267-0466

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Surgery Doctors in Chattanooga, TN

Dr. Julie Ann Koffron, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404
Phone: 423-267-0466    Fax: 423-778-5177
Dr. Daniel Franklin Fisher Jr., M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2108 E 3rd St, Suite 200, Chattanooga, TN 37404
Phone: 423-267-0466    Fax: 423-778-8212
Dr. Jason Paul Rehm, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 979 E 3rd St, Suite C920, Chattanooga, TN 37403
Phone: 423-756-7134    Fax: 423-763-4571
Dr. Michael Everett Barfield, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404
Phone: 423-267-0466    Fax: 423-778-5177
Dr. Cauley W Hayes, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 979 E 3rd St, Suite C920, Chattanooga, TN 37403
Phone: 423-756-7134    Fax: 423-763-4571
William Buckley Lyman, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2108 E 3rd St Ste 200, Chattanooga, TN 37404
Phone: 423-267-0466    
Dr. Benjamin W Dart Iv, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 979 E 3rd St, Ste 300, Chattanooga, TN 37403
Phone: 423-267-0466    Fax: 423-757-0775

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