Paul Tarver Hernandez, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Philadelphia, Pennsylvania. His current practice location is
3737 Market Street, 4th Floor, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 662-8664.
Paul Tarver Hernandez is licensed to practice in Pennsylvania (license number MD462210) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609261171.
Physician's Profile
Full Name | Paul Tarver Hernandez |
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Gender | Male |
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Speciality | Colon & Rectal Surgery |
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Location | 3737 Market Street, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609261171
- Provider Enumeration Date: 04/01/2015
- Last Update Date: 10/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002296787
- Enrollment ID: I20231004003653
Medical Identifiers
Medical identifiers for Paul Tarver Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609261171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD462210 (Pennsylvania) | Secondary |
208C00000X | Colon & Rectal Surgery | MD462210 (Pennsylvania) | Primary |
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. Paul Tarver Hernandez allows following entities to bill medicare on his behalf.
Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
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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. Paul Tarver Hernandez 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 |
Paul Tarver Hernandez, MD 3737 Market Street, 4th Floor, Philadelphia, PA 19104-5544 Ph: (215) 662-8664 | Paul Tarver Hernandez, MD 3737 Market Street, 4th Floor, Philadelphia, PA 19104-5544 Ph: (215) 662-8664 |
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