Kimberly Fernando, FNP-BC in Greenwood, MS - Medicare Nurse Practitioner

Kimberly Fernando, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Greenwood, Mississippi. Her current practice location is 1401 River Rd, Greenwood, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 451-7565.

Kimberly Fernando is licensed to practice in Mississippi (license number 906375) 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 1609541358.

Contact Information

	Kimberly Fernando, FNP-BC
	1401 River Rd, Greenwood, MS 38930-4030
	(662) 451-7565
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Fernando
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1401 River Rd, Greenwood, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609541358
Provider Enumeration Date: 08/14/2021
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 4082065800
Enrollment ID: I20240105002413

Medical Identifiers

Medical identifiers for Kimberly Fernando such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609541358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	906375 (Mississippi)	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. Kimberly Fernando allows following entities to bill medicare on her behalf.

Entity Name	Greenwood Leflore Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699714717 PECOS PAC ID: 1153399472 Enrollment ID: O20040923000500

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556

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. Kimberly Fernando 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
Kimberly Fernando, FNP-BC 168 Lyon Dr, Grenada, MS 38901-8808 Ph: () -	Kimberly Fernando, FNP-BC 1401 River Rd, Greenwood, MS 38930-4030 Ph: (662) 451-7565

Reviews and Comments

Nurse Practitioner Nurses in Greenwood, MS

Ms. Kara Austin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 Tallahatchie St, Greenwood, MS 38930 Phone: 662-453-2626
William Jesse Hodnett Iii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-7000
Mrs. Tonya Mayers-sherman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-1234
Mrs. Sabrina Brown Matthews, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 River Rd, Greenwood, MS 38930 Phone: 662-459-7000
Heather Henderson Wilkey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 706 Highway 82 W, Suite B, Greenwood, MS 38930 Phone: 662-459-2181 Fax: 662-459-2182
Mrs. Brandy G Smith, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2901 Highway 82 E, Greenwood, MS 38930 Phone: 662-374-2185 Fax: 662-374-2195
Stacey D Sprayberry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2901 Us 82, Greenwood, MS 38930 Phone: 662-453-6323 Fax: 662-453-9238

Kimberly Fernando, FNP-BC - Medicare Nurse Practitioner in Greenwood, MS