Dr Jacqueline Souza Fernandes, MD - Medicare Obstetrics & Gynecology in Clearwater, FL

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Dr Jacqueline Souza Fernandes, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Clearwater, Florida. Her current practice location is 508 Jeffords St Ste C, Clearwater, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 413-5061.

Dr Jacqueline Souza Fernandes is licensed to practice in Florida (license number ME123990) 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 1629038880.

Contact Information

Dr Jacqueline Souza Fernandes, MD
508 Jeffords St Ste C,
Clearwater, FL 33756-3839
(727) 413-5061
(727) 447-0314

Map and Direction




Physician's Profile

Full NameDr Jacqueline Souza Fernandes
GenderFemale
SpecialityObstetrics & Gynecology
Location508 Jeffords St Ste C, Clearwater, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629038880
  • Provider Enumeration Date: 03/23/2006
  • Last Update Date: 11/07/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7911146402
  • Enrollment ID: I20150916002303

Medical Identifiers

Medical identifiers for Dr Jacqueline Souza Fernandes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629038880NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology ME123990 (Florida)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. Dr Jacqueline Souza Fernandes allows following entities to bill medicare on her behalf.
Entity NameWomens Care Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013902923
PECOS PAC ID: 9234031444
Enrollment ID: O20040127000078
Entity NameFlorida Hospital Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174955256
PECOS PAC ID: 2365679057
Enrollment ID: O20131231000600
Entity NameWomens' Health Hospitalists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205295599
PECOS PAC ID: 1850674870
Enrollment ID: O20170216001354
Entity NameDhp Of Manatee Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134771611
PECOS PAC ID: 5799016846
Enrollment ID: O20191004000172

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 Jacqueline Souza 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 AddressPractice Location Address
Dr Jacqueline Souza Fernandes, MD
Po Box 25317,
Tampa, FL 33622-5317

Ph: (813) 286-0033		Dr Jacqueline Souza Fernandes, MD
508 Jeffords St Ste C,
Clearwater, FL 33756-3839

Ph: (727) 413-5061

Reviews and Comments


Obstetrics & Gynecology Doctors in Clearwater, FL

Dr. Gaetano Fernando Perego, M.D
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Hugo L Perez, MD
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David O Peterfreund, M.D.
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Dr. Georgette J Mccance, MD
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Dr. Patricia Cunnane, MD
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Phone: 727-725-5121    Fax: 727-725-5417
Dr. Heather R Norton, M.D.
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Practice Location: 2106 Drew St, Suite 103, Clearwater, FL 33765
Phone: 727-442-0445    Fax: 727-447-3797

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.