Dr Rafael Ramon Fernandez, MD, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Doral, Florida. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
4834 Nw 110th Pl, Doral, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 326-4240.
Dr Rafael Ramon Fernandez is licensed to practice in Florida (license number APRN11012992) 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 1073197794.
Physician's Profile
| Full Name | Dr Rafael Ramon Fernandez |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 4834 Nw 110th Pl, Doral, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Rafael Ramon Fernandez graduated from medical school in 2020
NPI Data:
- NPI Number: 1073197794
- Provider Enumeration Date: 05/09/2021
- Last Update Date: 12/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486054871
- Enrollment ID: I20210607000456
Medical Identifiers
Medical identifiers for Dr Rafael Ramon Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073197794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | NJDCATEMP041658 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | HSE24274 (Florida) | Secondary |
| 207Q00000X | Family Medicine | CV2102936 (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11012992 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11012992 (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 Rafael Ramon Fernandez allows following entities to bill medicare on his behalf.
| Entity Name | Excellence Medical Group Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497049423
PECOS PAC ID: 2466623459
Enrollment ID: O20110923000161 |
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| Entity Name | L.s.l Medical Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861738197
PECOS PAC ID: 6305079815
Enrollment ID: O20140508000890 |
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| Entity Name | Related Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619634136
PECOS PAC ID: 2365836467
Enrollment ID: O20220307002615 |
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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 Rafael Ramon 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 |
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Dr Rafael Ramon Fernandez, MD, APRN
4834 Nw 110th Pl,
Doral, FL 33178-4310
Ph: (786) 326-4240 | Dr Rafael Ramon Fernandez, MD, APRN
4834 Nw 110th Pl,
Doral, FL 33178-4310
Ph: (786) 326-4240 |
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