Nelson Chen Fernandez, MD | |
46a Broad Street Rd, Manakin Sabot, VA 23103-2213 | |
(804) 708-9480 | |
(804) 708-0865 |
Full Name | Nelson Chen Fernandez |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 46a Broad Street Rd, Manakin Sabot, Virginia |
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 |
---|---|---|---|
1417147315 | NPI | - | NPPES |
1417147315 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01067690A (Indiana) | Secondary |
207Q00000X | Family Medicine | 0101248696 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours St Marys Hospital | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centerville Family Practice Pc | 9133443021 | 2 |
Entity Name | Centerville Family Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306241575 PECOS PAC ID: 9133443021 Enrollment ID: O20150126000106 |
Mailing Address | Practice Location Address |
---|---|
Nelson Chen Fernandez, MD Po Box 5275, Glen Allen, VA 23058-5275 Ph: (804) 708-9480 | Nelson Chen Fernandez, MD 46a Broad Street Rd, Manakin Sabot, VA 23103-2213 Ph: (804) 708-9480 |
Ralph D Hellams Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 River Rd W, Manakin Sabot, VA 23103 Phone: 804-784-8800 Fax: 804-784-7203 | |
Berta Lisbeth Granados Ortega, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 46a Broad Street Rd, Manakin Sabot, VA 23103 Phone: 804-708-9480 Fax: 804-708-0865 |