Dr Wayne Fisher, PHD - Medicare in Somerset, NJ

Dr Wayne Fisher, PHD is a medicare enrolled "Behavior Analyst" provider in Somerset, New Jersey. His current practice location is 888 Easton Ave, Somerset, New Jersey. You can reach out to his office (for appointments etc.) via phone at (848) 800-8502.

Dr Wayne Fisher is licensed to practice in New Jersey (license number 1-08-4742) 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 1457436446.

Contact Information

Dr Wayne Fisher, PHD
888 Easton Ave,
Somerset, NJ 08873-1898
(848) 800-8502
Not Available



Healthcare Provider's Profile

Full NameDr Wayne Fisher
GenderMale
SpecialityBehavior Analyst
Location888 Easton Ave, Somerset, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457436446
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 04/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214936673
  • Enrollment ID: I20061212000454

Medical Identifiers

Medical identifiers for Dr Wayne Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457436446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral 35SI00626400 (New Jersey)Secondary
103TB0200XPsychologist - Cognitive & Behavioral 633 (Nebraska)Secondary
103K00000XBehavior Analyst 1-08-4742 (New Jersey)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. Dr Wayne Fisher allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Nebraska Board Of Regents
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164645818
PECOS PAC ID: 3971564279
Enrollment ID: O20041020000796

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Wayne Fisher, PHD
888 Easton Ave,
Somerset, NJ 08873-1898

Ph: (848) 800-8502
Dr Wayne Fisher, PHD
888 Easton Ave,
Somerset, NJ 08873-1898

Ph: (848) 800-8502

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