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Patrick William Fisher

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as PATRICK FISHER.

Based on the most recent information from CMS, provider Patrick William Fisher is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:35 PM.

Profile Details

Provider ID
1730727207
Provider Type
Individual
Full Name
Fisher, Patrick William
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
12/16/2019
Last Updated
12/16/2019

Contact Information

Practice Location

22 Bramhall St, Portland, ME 04102-3134

(207) 662-0111

Unlisted Fax

Mailing Location

324 Gannett Dr Ste 200, South Portland, ME 04106-3266

(207) 482-7800

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA2005 Maine

Patrick William Fisher

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Young, Allison Cay

Mckenna, Sarah Faye

Landry, Addison

Jones, Rhianna

Large, Daniel

Denault, Elyssa

Mehler, Laura Kolker

Resnick, Molly

Murphy, Patrick

Hoff, James Robert