Beverly Jane Fernandez, NP in Port Jervis, NY

Beverly Jane Fernandez, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Port Jervis, New York. Her current practice location is 160 E Main St, Port Jervis, New York. You can reach out to her office (for appointments etc.) via phone at (845) 807-2239.

Beverly Jane Fernandez is licensed to practice in New York (license number 310954) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023733292.

Contact Information

	Beverly Jane Fernandez, NP
	160 E Main St, Port Jervis, NY 12771-2114
	(845) 807-2239
	Not Available

Map and Direction

Provider's Profile

Full Name	Beverly Jane Fernandez
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	160 E Main St, Port Jervis, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023733292
Provider Enumeration Date: 10/10/2022
Last Update Date: 10/10/2022

Medicare PECOS Information:

PECOS PAC ID: 2668849480
Enrollment ID: I20221108003221

Medical Identifiers

Medical identifiers for Beverly Jane Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023733292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	310954 (New York)	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. Beverly Jane Fernandez allows following entities to bill medicare on her behalf.

Entity Name	Bon Secours Charity Health System Medical Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487694345 PECOS PAC ID: 1658262084 Enrollment ID: O20040323001971

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. Beverly Jane 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 Address	Practice Location Address
Beverly Jane Fernandez, NP 56 Bristol Cir, Rock Hill, NY 12775-6002 Ph: (845) 807-2239	Beverly Jane Fernandez, NP 160 E Main St, Port Jervis, NY 12771-2114 Ph: (845) 807-2239

Reviews and Comments

Nurse Practitioner Nurses in Port Jervis, NY

Sheri Succi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 E Main St, Port Jervis, NY 12771 Phone: 845-858-7000
Heather Jaeger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 E Main St Ste 300, Port Jervis, NY 12771 Phone: 845-856-3284 Fax: 845-856-3306
Margaret Mitchell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-544-4447
Barbara Marie Marszalek, FPMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1456
Mrs. Heather Colombo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Orchard St, Port Jervis, NY 12771 Phone: 845-672-3995
Mrs. Avion J Thomas-walsh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 158 Pike St, Port Jervis, NY 12771 Phone: 845-672-4420 Fax: 949-655-5993

Beverly Jane Fernandez, NP - Medicare Nurse Practitioner in Port Jervis, NY