Amy Elaine Fisher, MD
Individual provider Active NPI Family Medicine Physician · Litchfield, IL
NPI 1124079538 · NPPES record last updated Apr 18, 2008
Key facts
- NPI
- 1124079538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Practice address
- 1285 Franciscan Dr
Litchfield, IL 62056-1778 - Phone
- (217) 324-6127
- Fax
- (217) 324-5959
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Southern Illinois University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Litchfield Family Practice Center
Practice addresses (Care Compare)
1285 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 324-6127
Hospital & facility affiliations
- St Francis Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Litchfield Family Practice Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest General Partnership Interest W-2 Managing Employee |
Jan 1, 2006 Jan 1, 2006 Jan 1, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101019001220 | IL | Practitioner - Family Practice | 2668483181 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036107214 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Litchfield Family Practice Center | Family Medicine | Current |
Accepting new patients |
Locations
1285 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-1035
Interoperability endpoints
- aelainefisher@lfpc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Yes |
Addresses
Primary practice location
1285 Franciscan Dr
Litchfield, IL 62056-1778
Mailing address
1285 Franciscan Dr
Litchfield, IL 62056-1778
Phone (217) 324-6127
Other providers in Litchfield, IL
- Jerome J Epplin
- Katy Evans
- Evergreen Litchfield, L.P.
- Family Eye Care Association, P.C.
- Family Health and Wellness Chiropractic
- Suzanne Melanie Fleming
- Vicky Joy Fuller
- Elise Griffith
- Corrina G Griffiths
- Jennifer M Gudgel
All providers in Litchfield, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.