Dr Diane Fernandez, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Goodyear, Arizona. Her current practice location is
14200 W Celebrate Life Way, Goodyear, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 207-3000.
Dr Diane Fernandez is licensed to practice in Arizona (license number 41450) 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 1487819819.
Physician's Profile
Full Name | Dr Diane Fernandez |
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Gender | Female |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 14200 W Celebrate Life Way, Goodyear, Arizona |
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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: 1487819819
- Provider Enumeration Date: 07/24/2008
- Last Update Date: 05/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 4486962321
- Enrollment ID: I20150926000212
Medical Identifiers
Medical identifiers for Dr Diane Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487819819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 41450 (Arizona) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A114125 (California) | 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. Dr Diane Fernandez allows following entities to bill medicare on her behalf.
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740382993 PECOS PAC ID: 3577476761 Enrollment ID: O20040430001354 |
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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. Dr Diane 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 |
Dr Diane Fernandez, MD 4886 Mansfield St, San Diego, CA 92116-1978 Ph: (520) 576-0216 | Dr Diane Fernandez, MD 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 Ph: (623) 207-3000 |
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