Heshan Jude Fernando, PHD in Grand Rapids, MI - Medicare Clinical Psychologist

Heshan Jude Fernando, PHD is a medicare enrolled "Psychologist - Clinical" physician in Grand Rapids, Michigan. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Spectrum Health Primary Care Partners and his current practice location is 2750 E Beltline Ave Ne Fl 3, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 267-7104.

Heshan Jude Fernando is licensed to practice in Michigan (license number 6301017923) 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 1942860119.

Contact Information

	Heshan Jude Fernando, PHD
	2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614
	(616) 267-7104
	Not Available

Map and Direction

Physician's Profile

Full Name	Heshan Jude Fernando
Gender	Male
Speciality	Clinical Psychologist
Experience	7 Years
Location	2750 E Beltline Ave Ne Fl 3, Grand Rapids, Michigan
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:

Heshan Jude Fernando graduated from medical school in 2017

NPI Data:

NPI Number: 1942860119
Provider Enumeration Date: 06/19/2019
Last Update Date: 03/08/2021

Medicare PECOS Information:

PECOS PAC ID: 1456680008
Enrollment ID: I20190909000743

Medical Identifiers

Medical identifiers for Heshan Jude Fernando such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942860119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0600X	Psychiatry & Neurology - Clinical Neurophysiology	6301017923 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301017923 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health	Grand rapids, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spectrum Health Primary Care Partners	4587568647	1590

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. Heshan Jude Fernando allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

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. Heshan Jude Fernando 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
Heshan Jude Fernando, PHD 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Heshan Jude Fernando, PHD 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525-8614 Ph: (616) 267-7104

Heshan Jude Fernando, PHD - Medicare Clinical Psychologist in Grand Rapids, MI