Fernando F Illescas, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Bloomfield, Connecticut. His current practice location is
701 Cottage Grove Rd Ste E110, Bloomfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 265-2529.
Fernando F Illescas is licensed to practice in Connecticut (license number 031371) 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 1417933961.
Physician's Profile
Full Name | Fernando F Illescas |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 701 Cottage Grove Rd Ste E110, Bloomfield, Connecticut |
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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. |
Medical Education and Training:
- Fernando F Illescas attended and graduated from in
NPI Data:
- NPI Number: 1417933961
- Provider Enumeration Date: 12/16/2005
- Last Update Date: 05/03/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Fernando F Illescas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417933961 | NPI | - | NPPES |
001313717 | Medicaid | CT | |
010031371CT01 | Other | CT | ANTHEM BC/BS |
1417933961 | Medicaid | CT | |
A2516306 | Other | CT | OXFORD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0204X | Radiology - Vascular & Interventional Radiology | 031371 (Connecticut) | 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. Fernando F Illescas 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 |
Fernando F Illescas, MD 701 Cottage Grove Rd Ste E110, Bloomfield, CT 06002-3085 Ph: (860) 519-0620 | Fernando F Illescas, MD 701 Cottage Grove Rd Ste E110, Bloomfield, CT 06002-3085 Ph: (860) 265-2529 |
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