Individual ProviderJohn M FisherAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address111 Colchester Ave, Fahc-Wp2, Burlington, VT 05401-1473(802) 847-2415PECOS EnrollmentThis provider is enrolled in PECOS as JOHN FISHER.Based on the most recent information from CMS, provider John M Fisher is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1154360063Provider TypeIndividualFull NameFisher, John MCredentialM.D.GenderMaleEnumeration Date6/6/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address111 Colchester Ave, Fahc-Wp2, Burlington, VT 05401-1473Phone(802) 847-2415Fax(802) 847-5324Mailing LocationMailing Address111 Colchester Ave, Fahc-Wp2, Burlington, VT 05401-1473Phone(802) 847-2415Fax(802) 847-5324Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicense042-0007989VermontProvider IdentifiersIDDescriptionIssuerID0009427DescriptionMedicaidIssuerUnlistedVermontID01134629DescriptionMedicaidIssuerUnlistedNew York