|Provider Name||MEGAN FISH|
|Location Address||215 OAK DR S STE D LAKE JACKSON, TX 77566|
|Location Phone||(979) 297-2755|
|Mailing Address||PO BOX 650859 DEPT 710 DALLAS, TX 75265|
|NPI Entity Type||Individual|
|Medical School Name||TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE|
|Is Sole Proprietor?||No|
|Last Update Date||06-13-2022|
Women's health care providers like Megan Fish treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.Megan Fish is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Megan Fish is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with University Of Texas Medical Branch Galveston and Chi St. Lukes' Brazosport Hospital.
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.17 for a new patient copayment and $18.67 for an established patient copayment.
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
|Classification||Obstetrics & Gynecology|
|Type||Allopathic & Osteopathic Physicians|
|Taxonomy Description||An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.|
215 OAK DR S STE D
LAKE JACKSON, TX
Phone: (979) 297-2755
Fax: (717) 812-3499
PO BOX 650859 DEPT 710
Phone: (409) 772-0620
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
|Registered in PECOS?||Yes|
|PECOS PAC ID||5597187245|
|PECOS Enrollment ID||I20200625001084|
|Accepts Medicare Assignment?|| Yes "What does it mean "accepts medicare assignment"?|
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
|Eligible order / refer Part B Clinical Laboratory and Imaging||Yes|
|Eligible order / refer Durable Medical Equipment||Yes|
|Eligible order / refer Home Health Agency (HHA)||Yes|
|Eligible order / refer Power Mobility Devices||Yes|
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 77566 ZIP code area.
|New Patients Office Visits Costs *|
|Most Utilized Procedure Code for new patients office visits: 99204|
|Minimum New Patient Pricing||Maximum New Patient Pricing||Typical New Patient Pricing|
|Minimum New Patient Copayment||Maximum New Patient Copayment||Typical New Patient Copayment|
|Established Patients Office Visits Costs *|
|Most Utilized Procedure Code for established patients office visits: 99213|
|Minimum Established Patient Pricing||Maximum Established Patient Pricing||Typical Established Patient Pricing|
|Minimum Established Patient Copayment||Maximum Established Patient Copayment||Typical Established Patient Copayment|
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Megan Fish is affiliated with the following medical facilities:
|Hospital Name||Address||Phone||Hospital Type||CMS Certification Number (CCN)||Overall Rating|
|UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON||301 UNIVERSITY BOULEVARD|
GALVESTON, TX 77555
|(409) 772-1011||Acute Care Hospitals||450018|
|CHI ST. LUKES' BRAZOSPORT HOSPITAL||100 MEDICAL DRIVE|
LAKE JACKSON, TX 77566
|(979) 297-4411||Acute Care Hospitals||450072|
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
|No.||Taxonomy Code||Type||Classification||Specialization||License No.||State||Primary|
|1||207V00000X||Allopathic & Osteopathic Physicians||Obstetrics & Gynecology||MT212035||PA||No|
Taxonomy Description: an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
|2||207VX0000X||Allopathic & Osteopathic Physicians||Obstetrics & Gynecology||Obstetrics||S5369||TX||No|
Taxonomy Description: Not Available
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
|Start with the original NPI number, the last digit is the check digit and is not used in the calculation.|
|Step 1: Double the value of the alternate digits, beginning with the rightmost digit.|
|Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.|
|2 + 5 + 4 + 8 + 8 + 1 + 1 + 8 + 5 + 1 + 0 + 24 = 67|
|Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.|
|70 - 67 = 3||3|
The NPI number 1528419553 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
Frequently Asked Questions
What is Megan Fish NPI number?
The NPI number assigned to Megan Fish is 1528419553, registered as an "individual" on June 30, 2016
Where is Megan Fish located?
The provider is located at 215 Oak Dr S Ste D Lake Jackson, Tx 77566 and the phone number is (979) 297-2755
Which is Megan Fish specialty?
The provider's speciality is Obstetrics & Gynecology
How many years of experience does Megan Fish have?
The provider has more than 7 years of experience. She graduated from Texas Tech University Health Science Center School Of Medicine in 2016.
Is Megan Fish registered in PECOS?
Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Megan Fish ?
Medicare beneficiaries should expect a typical cost of $136.68 with an average copayment of $34.17 for new patient appointments. Established patients should expect a typical charge of $74.68 and an average copayment of 18.67. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Megan Fish affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON and CHI ST. LUKES' BRAZOSPORT HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Megan Fish was last updated on June 30, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]