Dr Nadira M Fernandez, MD - Medicare Pediatrics in Sparta, NJ

Dr Nadira M Fernandez, MD is a medicare enrolled "Pediatrics" physician in Sparta, New Jersey. Her current practice location is 89 Sparta Ave Ste 100, Sparta, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 729-2121.

Dr Nadira M Fernandez is licensed to practice in New Jersey (license number 25MA11444300) 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 1366004061.

Contact Information

Dr Nadira M Fernandez, MD
89 Sparta Ave Ste 100,
Sparta, NJ 07871-1790
(973) 729-2121
(973) 729-3454

Map and Direction




Physician's Profile

Full NameDr Nadira M Fernandez
GenderFemale
SpecialityPediatrics
Location89 Sparta Ave Ste 100, Sparta, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366004061
  • Provider Enumeration Date: 07/02/2019
  • Last Update Date: 08/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9638551351
  • Enrollment ID: I20220727003655

Medical Identifiers

Medical identifiers for Dr Nadira M Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366004061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA11444300 (New Jersey)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 Nadira M Fernandez allows following entities to bill medicare on her behalf.
Entity NamePremier Health Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043257991
PECOS PAC ID: 0840283008
Enrollment ID: O20041209000067

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 Nadira M 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 AddressPractice Location Address
Dr Nadira M Fernandez, MD
89 Sparta Ave Ste 100,
Sparta, NJ 07871-1790

Ph: (973) 729-2121
Dr Nadira M Fernandez, MD
89 Sparta Ave Ste 100,
Sparta, NJ 07871-1790

Ph: (973) 729-2121

Reviews and Comments


Pediatrics Doctors in Sparta, NJ

Regina Bronstein, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 89 Sparta Ave, Suite 100, Sparta, NJ 07871
Phone: 973-729-2121    Fax: 973-729-3454
Dr. Christian Canzoniero, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 89 Sparta Ave Ste 207, Sparta, NJ 07871
Phone: 973-726-4455    Fax: 973-726-8445
Dr. Raymond Paul Dipaolo, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 328a Sparta Ave, Sparta, NJ 07871
Phone: 973-729-2197    Fax: 973-729-3653
Louis Robert Jacobson, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 106 Main St, Sparta, NJ 07871
Phone: 973-729-7400    Fax: 973-729-2201
Rajesh C Raman, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 89 Sparta Ave, Suite 202, Sparta, NJ 07871
Phone: 973-726-4455    Fax: 973-726-8445
Dr. Denise Novaes, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 328a Sparta Ave, Sparta, NJ 07871
Phone: 973-729-2197    Fax: 973-729-3653

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.