| Edmund J Fernandez, MD | |
|
1061 E Commerce Blvd, Slinger, WI 53086 | |
| (262) 644-2900 | |
| (262) 644-2980 |
| Full Name | Edmund J Fernandez |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 1061 E Commerce Blvd, Slinger, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669587739 | NPI | - | NPPES |
| P00941442 | Other | WI | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42228 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Washington County | Hartford, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Quick Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820729 PECOS PAC ID: 7719996792 Enrollment ID: O20060419000702 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Edmund J Fernandez, MD 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 Ph: (414) 352-3100 | Edmund J Fernandez, MD 1061 E Commerce Blvd, Slinger, WI 53086 Ph: (262) 644-2900 |
Terry S Williamson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1061 E Commerce Blvd, Slinger, WI 53086 Phone: 262-644-2900 Fax: 262-670-7112 | |
Joshua Peterson, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1061 E Commerce Blvd, Slinger, WI 53086 Phone: 262-644-2900 | |
Melissa Folstad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1061 E Commerce Blvd, Slinger, WI 53086 Phone: 262-644-2900 |