Cecilia Succour Fernandes, MD in Charlotte, NC - Medicare Psychiatry & Neurology

Cecilia Succour Fernandes, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Charlotte, North Carolina. Her current practice location is 1001 Blythe Blvd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 381-1450.

Cecilia Succour Fernandes is licensed to practice in North Carolina (license number 2017-02100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437566718.

Contact Information

	Cecilia Succour Fernandes, MD
	1001 Blythe Blvd, Charlotte, NC 28203-5866
	(704) 381-1450
	Not Available

Map and Direction

Physician's Profile

Full Name	Cecilia Succour Fernandes
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	1001 Blythe Blvd, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437566718
Provider Enumeration Date: 07/17/2014
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1759712623
Enrollment ID: I20200508000755

Medical Identifiers

Medical identifiers for Cecilia Succour Fernandes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437566718	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	2017-02100 (North Carolina)	Primary
2084N0400X	Psychiatry & Neurology - Neurology	2017-02100 (North Carolina)	Secondary

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. Cecilia Succour Fernandes allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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. Cecilia Succour Fernandes 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
Cecilia Succour Fernandes, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Cecilia Succour Fernandes, MD 1001 Blythe Blvd, Charlotte, NC 28203-5866 Ph: (704) 381-1450

Reviews and Comments

Psychiatry & Neurology Doctors in Charlotte, NC

Ryan Alan Williamson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-9437
Soong Hyun Lee, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Behavioral Health Center Cmc Randolph, 501 Billingsley Road, Charlotte, NC 28211 Phone: 704-358-2700 Fax: 704-358-2716
Dr. Richard David Jacobson, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4228 Brookfield Dr, Charlotte, NC 28210 Phone: 615-345-5400
Dr. T Hemanth Rao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2607 E 7th St Ste 200, Charlotte, NC 28204 Phone: 704-449-6064 Fax: 704-731-0936
Dr. Sumul Modi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5500 Executive Center Dr Ste 206, Charlotte, NC 28212 Phone: 984-777-9940 Fax: 877-794-5929
Hristos Christopher Karanikas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400
Timothy Cooper King, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400

Cecilia Succour Fernandes, MD - Medicare Psychiatry & Neurology in Charlotte, NC