Brooke Wells Fernandez, in Columbia, SC - Medicare Nurse Practitioner

Brooke Wells Fernandez, is a medicare enrolled "Nurse Practitioner - Adult Health" in Columbia, South Carolina. Her current practice location is 1601 Greene St, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at () -.

Brooke Wells Fernandez is licensed to practice in South Carolina (license number 24569) 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 1265054464.

Contact Information

	Brooke Wells Fernandez,
	1601 Greene St, Columbia, SC 29208-4001
	() -
	Not Available

Map and Direction

Provider's Profile

Full Name	Brooke Wells Fernandez
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1601 Greene St, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265054464
Provider Enumeration Date: 05/11/2020
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7012388341
Enrollment ID: I20230125001531

Medical Identifiers

Medical identifiers for Brooke Wells Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265054464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	24569 (South Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Brooke Wells Fernandez allows following entities to bill medicare on her behalf.

Entity Name	Ch Specialty Services Sc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275915522 PECOS PAC ID: 6608182993 Enrollment ID: O20150901002450

Entity Name	Elite Patient Care Of South Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316477896 PECOS PAC ID: 1951672617 Enrollment ID: O20170731000866

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. Brooke Wells 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
Brooke Wells Fernandez, 1601 Greene St, Columbia, SC 29208-4001 Ph: (803) 777-7412	Brooke Wells Fernandez, 1601 Greene St, Columbia, SC 29208-4001 Ph: () -

Reviews and Comments

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Jenny O'neill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Devine St Ste 101, Columbia, SC 29205 Phone: 803-457-8125 Fax: 803-457-8129
Sarah Elizabeth Wilson, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9 Richland Medical Park Dr Ste 420, Columbia, SC 29203 Phone: 803-434-3950 Fax: 803-434-3496
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Brooke Wells Fernandez, - Medicare Nurse Practitioner in Columbia, SC