Sally A Fernandez, CRNP in Philadelphia, PA - Medicare Nurse Practitioner

Sally A Fernandez, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Philadelphia, Pennsylvania. Her current practice location is 3400 Spruce St, 4 Silverstein Building, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 662-2626.

Sally A Fernandez is licensed to practice in Pennsylvania (license number VP001677C) 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 1528142452.

Contact Information

	Sally A Fernandez, CRNP
	3400 Spruce St, 4 Silverstein Building, Philadelphia, PA 19104-4206
	(215) 662-2626
	Not Available

Map and Direction

Provider's Profile

Full Name	Sally A Fernandez
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528142452
Provider Enumeration Date: 10/25/2006
Last Update Date: 03/01/2013

Medicare PECOS Information:

PECOS PAC ID: 5597845701
Enrollment ID: I20071231000017

Medical Identifiers

Medical identifiers for Sally A Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528142452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	VP001677C (Pennsylvania)	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. Sally A Fernandez allows following entities to bill medicare on her behalf.

Entity Name	Clinical Care Associates Of The University Of Pennsylvania Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Sally A 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
Sally A Fernandez, CRNP 3400 Spruce St, 4 Silverstein Building, Philadelphia, PA 19104-4206 Ph: (215) 662-2626	Sally A Fernandez, CRNP 3400 Spruce St, 4 Silverstein Building, Philadelphia, PA 19104-4206 Ph: (215) 662-2626

Reviews and Comments

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Sally A Fernandez, CRNP - Medicare Nurse Practitioner in Philadelphia, PA