Wilfor Jhonathan Diaz Fernandez, | |
621 S New Ballas Rd, Saint Louis, MO 63141-8232 | |
(314) 509-5305 | |
(314) 251-4454 |
Full Name | Wilfor Jhonathan Diaz Fernandez |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 10 Years |
Location | 621 S New Ballas Rd, Saint Louis, Missouri |
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 |
---|---|---|---|
1134611817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2018015704 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beth Israel Deaconess Hospital - Milton | Milton, MA | Hospital |
Beth Israel Deaconess Hospital Plymouth | Plymouth, MA | Hospital |
Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
Beth Israel Deaconess Medical Center | Boston, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc | 4486567104 | 1337 |
Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is | 6305749987 | 450 |
Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194765438 PECOS PAC ID: 4486567104 Enrollment ID: O20031204000918 |
Entity Name | Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497151773 PECOS PAC ID: 6305749987 Enrollment ID: O20150211001099 |
Mailing Address | Practice Location Address |
---|---|
Wilfor Jhonathan Diaz Fernandez, 621 S New Ballas Rd, Saint Louis, MO 63141-8232 Ph: (314) 509-5305 | Wilfor Jhonathan Diaz Fernandez, 621 S New Ballas Rd, Saint Louis, MO 63141-8232 Ph: (314) 509-5305 |
Dr. Isik Turker, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110 Phone: 314-362-1291 Fax: 314-362-4278 | |
Conor Mccartney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Faris Adam Bakeer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Rehan Rais, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Nathan Farkas, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930 | |
Dr. Randy Olivier Laine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Erin Leigh Dyer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959 |