Benjamin Fernandes, APRN is a medicare enrolled "Psychiatry & Neurology - Geriatric Psychiatry" in Manchester, New Hampshire. His current practice location is
138 Webster St, Manchester, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 645-5977.
Benjamin Fernandes is licensed to practice in New Hampshire (license number 069735-23) 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 1457912065.
Provider's Profile
Full Name | Benjamin Fernandes |
---|
Gender | Male |
---|
Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
---|
Location | 138 Webster St, Manchester, New Hampshire |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457912065
- Provider Enumeration Date: 06/25/2019
- Last Update Date: 08/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284965906
- Enrollment ID: I20191010003007
Medical Identifiers
Medical identifiers for Benjamin Fernandes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457912065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2100X | Nurse Practitioner - Acute Care | 069735-23 (New Hampshire) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 069735-23 (New Hampshire) | Secondary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 069735-23 (New Hampshire) | 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. Benjamin Fernandes allows following entities to bill medicare on his behalf.
Entity Name | Jwalant Vadalia Md Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1346329133 PECOS PAC ID: 5698666337 Enrollment ID: O20040323000491 |
---|
Entity Name | Frisbie Memorial Hospital |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1942426952 PECOS PAC ID: 7012996275 Enrollment ID: O20040720000566 |
---|
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. Benjamin Fernandes 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 |
Benjamin Fernandes, APRN 42 Rolling Hill Dr, Weare, NH 03281-5559 Ph: () - | Benjamin Fernandes, APRN 138 Webster St, Manchester, NH 03104-2512 Ph: (603) 645-5977 |
Reviews and Comments