Dr Sidney Stewart Fernald, RN, APN, NP-C, DC is a
Nurse Practitioner - Family based in Mission, Texas. Dr Sidney Stewart Fernald is licensed to practice in Texas (license number AP-121523) and his current practice location is
2311 Monaco Dr, Mission, Texas. He can be reached at his office (for appointments etc.) via phone at
(956) 821-6163.
NPI number for Dr Sidney Stewart Fernald is 1396824413 and his current mailing address is 1800 S Main St, Suite 450, Mcallen, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396824413.
Healthcare Provider's Profile
| Full Name | Dr Sidney Stewart Fernald |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 2311 Monaco Dr, Mission, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396824413
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 08/25/2021
Medical Identifiers
Medical identifiers for Dr Sidney Stewart Fernald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396824413 | NPI | - | NPPES |
| DC6861 | Other | TX | LICENCE NUMBER |
| 742920952 | Other | TX | TAX IDENTIFICATION |
| 002110701 | Medicaid | TX | |
| 8A1120 | Other | TX | BCBS PROVIDER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC6861 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 790354 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP-121523 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sidney Stewart Fernald is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sidney Stewart Fernald, RN, APN, NP-C, DC
1800 S Main St, Suite 450,
Mcallen, TX 78503-5441
Ph: (956) 631-0142 | Dr Sidney Stewart Fernald, RN, APN, NP-C, DC
2311 Monaco Dr,
Mission, TX 78573-8471
Ph: (956) 821-6163 |
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