Theresa Lane Fisher, PA - Physician Assistant in Jackson, MS

Theresa Lane Fisher, PA is a Physician Assistant based in Jackson, Mississippi. Theresa Lane Fisher is licensed to practice in Mississippi (license number PA011) and her current practice location is 4436 North State Street, Suite Ai, Jackson, Mississippi. She can be reached at her office (for appointments etc.) via phone at (769) 257-5336.

NPI number for Theresa Lane Fisher is 1780898577 and her current mailing address is 4436 North State Street, Suite Ai, Jackson, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780898577.

Contact Information

Theresa Lane Fisher, PA
4436 North State Street, Suite Ai,
Jackson, MS 39206-3073
(769) 257-5336
(769) 257-5339



Provider's Profile

Full NameTheresa Lane Fisher
GenderFemale
SpecialityPhysician Assistant
Location4436 North State Street, Suite Ai, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780898577
  • Provider Enumeration Date: 05/10/2007
  • Last Update Date: 04/13/2012

Medical Identifiers

Medical identifiers for Theresa Lane Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780898577NPI-NPPES
00125523MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA011 (Mississippi)Primary

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. Theresa Lane Fisher is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theresa Lane Fisher, PA
4436 North State Street, Suite Ai,
Jackson, MS 39206-3073

Ph: (769) 257-5336
Theresa Lane Fisher, PA
4436 North State Street, Suite Ai,
Jackson, MS 39206-3073

Ph: (769) 257-5336

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Physician Assistant Nurses in Jackson, MS

David Andrew Porter, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Rowdy Chance Lee, MD
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5153    
Kelsey A North, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 971 Lakeland Dr Ste 1460, Jackson, MS 39216
Phone: 513-708-4211    
Mary Allison Durr, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1325 E Fortification St, Jackson, MS 39202
Phone: 601-354-4488    Fax: 601-914-1835
Sarah Joanna Mason, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7275 S Siwell Rd, Jackson, MS 39272
Phone: 601-373-7722    Fax: 601-373-7128
Mrs. Victoria Nicole Lott, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 656, Jackson, MS 39216
Phone: 601-366-6606    
Heather Morris, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1190 N State St Ste 502, Jackson, MS 39202
Phone: 601-944-1781    

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