Dr James Reza Farroknejad Fernandez, MD in Eden Prairie, MN

Dr James Reza Farroknejad Fernandez, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. He graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Crown Valley Radiologists Inc A Professional Medical Corp, Radiology Associates Of Dothan Pc and his current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

Dr James Reza Farroknejad Fernandez is licensed to practice in Alabama (license number MD.35137) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083959142.

Contact Information

	Dr James Reza Farroknejad Fernandez, MD
	11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349
	(952) 595-1301
	(612) 294-4903

Map and Direction

Physician's Profile

Full Name	Dr James Reza Farroknejad Fernandez
Gender	Male
Speciality	Diagnostic Radiology
Experience	17 Years
Location	11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr James Reza Farroknejad Fernandez graduated from medical school in 2008

NPI Data:

NPI Number: 1083959142
Provider Enumeration Date: 11/30/2012
Last Update Date: 03/25/2022

Medicare PECOS Information:

PECOS PAC ID: 1557514981
Enrollment ID: I20130114000363

Medical Identifiers

Medical identifiers for Dr James Reza Farroknejad Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083959142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	Q2764 (Texas)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD.35137 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeast Alabama Medical Center	Dothan, AL	Hospital
Flowers Hospital	Dothan, AL	Hospital
Medical Center Enterprise	Enterprise, AL	Hospital
Medical Center Barbour	Eufaula, AL	Hospital
Mizell Memorial Hospital	Opp, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crown Valley Radiologists Inc A Professional Medical Corp	3476441965	13
Radiology Associates Of Dothan Pc	2163465147	16

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 James Reza Farroknejad Fernandez allows following entities to bill medicare on his behalf.

Entity Name	Crown Valley Radiologists Inc A Professional Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720042062 PECOS PAC ID: 3476441965 Enrollment ID: O20040306000310

Entity Name	Santa Rosa Hb Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730969502 PECOS PAC ID: 4284089335 Enrollment ID: O20231204002349

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 James Reza Farroknejad 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 James Reza Farroknejad Fernandez, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301	Dr James Reza Farroknejad Fernandez, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301

Reviews and Comments

Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Christopher Calixte, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Rati N Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903

Dr James Reza Farroknejad Fernandez, MD - Medicare Diagnostic Radiology in Eden Prairie, MN