Mr Luis Alfonso Fernandez, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in Palo Alto, California. His current practice location is
401 Quarry Rd, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at
(650) 723-6643.
Mr Luis Alfonso Fernandez is licensed to practice in California (license number A184052) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639440977.
Healthcare Provider's Profile
Full Name | Mr Luis Alfonso Fernandez |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 401 Quarry Rd, Palo Alto, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639440977
- Provider Enumeration Date: 01/18/2012
- Last Update Date: 04/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850755299
- Enrollment ID: I20230918003873
Medical Identifiers
Medical identifiers for Mr Luis Alfonso Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639440977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | A184052 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Luis Alfonso Fernandez allows following entities to bill medicare on his behalf.
Entity Name | County Of San Mateo |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679642326 PECOS PAC ID: 9032023171 Enrollment ID: O20031126000292 |
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Entity Name | Momentum For Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154426807 PECOS PAC ID: 2769377217 Enrollment ID: O20040618001294 |
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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. Mr Luis Alfonso Fernandez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Luis Alfonso Fernandez, MD 401 Quarry Rd, Palo Alto, CA 94304-5717 Ph: (650) 723-6643 | Mr Luis Alfonso Fernandez, MD 401 Quarry Rd, Palo Alto, CA 94304-5717 Ph: (650) 723-6643 |
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