Thomas Hernandez, MD is a medicare enrolled "Orthopaedic Surgery" physician in Dixon, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2003 and has 21 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Ksb Medical Group Inc and his current practice location is
215 E 1st St Ste 326, Dixon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 285-5800.
Thomas Hernandez is licensed to practice in Illinois (license number 036-129768) 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 1851513089.
Physician's Profile
| Full Name | Thomas Hernandez |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 21 Years |
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| Location | 215 E 1st St Ste 326, Dixon, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas Hernandez attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2003
NPI Data:
- NPI Number: 1851513089
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 08/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618124975
- Enrollment ID: I20120822000340
Medical Identifiers
Medical identifiers for Thomas Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851513089 | NPI | - | NPPES |
| BM6733807-R49 | Other | GA | TEMP RESIDENCY TRAINING # |
| 036129768 | Medicaid | IL | |
| 381220030 | Other | IL | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 036-129768 (Illinois) | Secondary |
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | BM6733807-R49 (Georgia) | Secondary |
| 207X00000X | Orthopaedic Surgery | 036-129768 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ksb Medical Group Inc | 7911890009 | 74 |
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. Thomas Hernandez allows following entities to bill medicare on his behalf.
| Entity Name | Ksb Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073592119
PECOS PAC ID: 7911890009
Enrollment ID: O20040203000860 |
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| Entity Name | Katherine Shaw Bethea Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427043546
PECOS PAC ID: 2264480037
Enrollment ID: O20081218000029 |
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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. Thomas 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 |
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Thomas Hernandez, MD
337 Old Salem Way,
Martinez, GA 30907-9081
Ph: (706) 210-1825 | Thomas Hernandez, MD
215 E 1st St Ste 326,
Dixon, IL 61021-3190
Ph: (815) 285-5800 |
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