Rafael Crespo Fernandez, MD - Medicare General Practice in Miami, FL

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Rafael Crespo Fernandez, MD is a medicare enrolled "General Practice" physician in Miami, Florida. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Community Health And Wellness Center Of Miami Inc and his current practice location is 16201 Sw 95th Ave, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 400-4605.

Rafael Crespo Fernandez is licensed to practice in Florida (license number ACN 613) 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 1194958603.

Contact Information

Rafael Crespo Fernandez, MD
16201 Sw 95th Ave,
Miami, FL 33157-3459
(305) 400-4605
Not Available

Map and Direction




Physician's Profile

Full NameRafael Crespo Fernandez
GenderMale
SpecialityGeneral Practice
Experience34 Years
Location16201 Sw 95th Ave, Miami, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rafael Crespo Fernandez graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1194958603
  • Provider Enumeration Date: 08/31/2009
  • Last Update Date: 01/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4789786724
  • Enrollment ID: I20150605001898

Medical Identifiers

Medical identifiers for Rafael Crespo Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194958603NPI-NPPES
015206000MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ACN 613 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health And Wellness Center Of Miami Inc61031173383

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. Rafael Crespo Fernandez allows following entities to bill medicare on his behalf.
Entity NameA & F Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851625461
PECOS PAC ID: 3577582188
Enrollment ID: O20051114000284
Entity NameCommunity Health And Wellness Center Of Miami Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932504370
PECOS PAC ID: 6103117338
Enrollment ID: O20160620000991
Entity NameMoreira Medical Group Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760954945
PECOS PAC ID: 6002231743
Enrollment ID: O20200729000789

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. Rafael Crespo Fernandez 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 AddressPractice Location Address
Rafael Crespo Fernandez, MD
860 Nw 42nd Ave, Fl 5,
Miami, FL 33126

Ph: (305) 504-7885		Rafael Crespo Fernandez, MD
16201 Sw 95th Ave,
Miami, FL 33157-3459

Ph: (305) 400-4605

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.