Juan Diego Fernandez, MD | |
9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-2613 | |
(952) 270-0066 | |
Not Available |
Full Name | Juan Diego Fernandez |
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Gender | Male |
Speciality | Ophthalmology - Neuro-ophthalmology |
Location | 9040a Jackson Ave, Joint Base Lewis Mcchord, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629502760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207WX0109X | Ophthalmology - Neuro-ophthalmology | A185789 (California) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | A185789 (California) | Secondary |
Entity Name | Jules Stein Eye Institute Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326006966 PECOS PAC ID: 5597663740 Enrollment ID: O20031223000884 |
Mailing Address | Practice Location Address |
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Juan Diego Fernandez, MD 9040a Jackson Ave Neurology Clinic, Joint Base Lewis Mcchord, WA 98431-0001 Ph: (952) 270-0066 | Juan Diego Fernandez, MD 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-2613 Ph: (952) 270-0066 |
Natalie Husa, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-0369 | |
Dr. Boonkit Purt, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1760 | |
Dr. James Bailey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9040 A Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-241-6725 |