Dr Dolores R Fernandez, MD | |
101 W University Ave, Champaign, IL 61820-3981 | |
(217) 366-1285 | |
Not Available |
Full Name | Dr Dolores R Fernandez |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 44 Years |
Location | 101 W University Ave, Champaign, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578570842 | NPI | - | NPPES |
036064412 2 | Medicaid | IL | |
300024387 | Other | RAILROAD MEDICARE | |
279500 | Other | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036-064412 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christie Clinic, Llc | 7719899319 | 202 |
Entity Name | Christie Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
Mailing Address | Practice Location Address |
---|---|
Dr Dolores R Fernandez, MD 101 W University Ave, Champaign, IL 61820-3909 Ph: (217) 366-1285 | Dr Dolores R Fernandez, MD 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-1285 |
Durga K Pai, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 | |
Dr. Sadasiva B. Jampala, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 | |
Dr. Steven J Damore, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 109 W University Ave, Champaign, IL 61820 Phone: 217-366-5180 Fax: 217-366-6106 | |
Dr. Tina M Molis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 Fax: 217-366-6129 | |
Andrew Gene Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1285 | |
C Ronald Donahoe, M. D. Radiology Medicare: Medicare Enrolled Practice Location: 1704 Byrnebruk Dr, Champaign, IL 61822 Phone: 217-355-3812 |