Dr John Patrick Fernald, MD is a
Pediatrics physician based in Beaver, West Virginia. Dr John Patrick Fernald is licensed to practice in West Virginia (license number 23655) and his current practice location is 354 Commerce Dr, Beaver, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 250-0150.
NPI number for Dr John Patrick Fernald is 1730150251 and his current mailing address is Po Box 5427, Beckley, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730150251.
Physician's Profile
| Full Name | Dr John Patrick Fernald |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
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| Location | 354 Commerce Dr, Beaver, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730150251
- Provider Enumeration Date: 02/01/2006
- Last Update Date: 12/30/2014
Medical Identifiers
Medical identifiers for Dr John Patrick Fernald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730150251 | NPI | - | NPPES |
| 3810013660 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 0101234192 (Virginia) | Secondary |
| 208000000X | Pediatrics | 23655 (West Virginia) | Primary |
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 John Patrick Fernald is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Patrick Fernald, MD
Po Box 5427,
Beckley, WV 25801-7505
Ph: (304) 929-6930 | Dr John Patrick Fernald, MD
354 Commerce Dr,
Beaver, WV 25813-8985
Ph: (304) 250-0150 |
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