Everlin E Fernandez, RN,BSN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Walden, New York. Her current practice location is
25 Donnelly Farm Rd # 1, Walden, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 836-3046.
Everlin E Fernandez is licensed to practice in New York (license number 405170) 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 1942919170.
Provider's Profile
| Full Name | Everlin E Fernandez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 25 Donnelly Farm Rd # 1, Walden, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942919170
- Provider Enumeration Date: 11/16/2022
- Last Update Date: 07/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072976869
- Enrollment ID: I20230827000089
Medical Identifiers
Medical identifiers for Everlin E Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942919170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11027106 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 405170 (New York) | Primary |
| 163W00000X | Registered Nurse | 763995 (New York) | 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. Everlin E Fernandez allows following entities to bill medicare on her behalf.
| Entity Name | House Call Medical Services Of New York Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851345946
PECOS PAC ID: 2264517754
Enrollment ID: O20080307000427 |
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| Entity Name | Bronx Medical Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356726087
PECOS PAC ID: 9739496100
Enrollment ID: O20150917000004 |
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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. Everlin E 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 |
|---|
Everlin E Fernandez, RN,BSN
25 Donnelly Farm Rd # 1,
Walden, NY 12586-2270
Ph: (646) 836-3046 | Everlin E Fernandez, RN,BSN
25 Donnelly Farm Rd # 1,
Walden, NY 12586-2270
Ph: (646) 836-3046 |
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