Thailisse Fernandez, FNP-C in Indialantic, FL

Thailisse Fernandez, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Indialantic, Florida. Her current practice location is 1220 N Highway A1a Ste 147, Indialantic, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 984-1333.

Thailisse Fernandez is licensed to practice in Florida (license number 11034088) 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 1356189005.

Contact Information

	Thailisse Fernandez, FNP-C
	1220 N Highway A1a Ste 147, Indialantic, FL 32903-2858
	(321) 984-1333
	Not Available

Map and Direction

Provider's Profile

Full Name	Thailisse Fernandez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1220 N Highway A1a Ste 147, Indialantic, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356189005
Provider Enumeration Date: 07/17/2024
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3678010113
Enrollment ID: I20240801004371

Medical Identifiers

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

Identifier	Type	State	Issuer
1356189005	NPI	-	NPPES
TF230	Other	FL	MEDICARE HF

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11034088 (Florida)	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. Thailisse Fernandez allows following entities to bill medicare on her behalf.

Entity Name	Health First Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135

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. Thailisse 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
Thailisse Fernandez, FNP-C 3300 S Fiske Blvd, Rockledge, FL 32955-4306 Ph: (321) 984-1333	Thailisse Fernandez, FNP-C 1220 N Highway A1a Ste 147, Indialantic, FL 32903-2858 Ph: (321) 984-1333

Reviews and Comments

Nurse Practitioner Nurses in Indialantic, FL

Chad Larsen Randol, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 351 Coconut Dr, Indialantic, FL 32903 Phone: 859-428-6492
Teena Yvonne Sanders, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 5th Ave Ste C, Indialantic, FL 32903 Phone: 321-821-4882
Jessica S Magnaldi, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 6th Ave, Indialantic, FL 32903 Phone: 321-312-3501 Fax: 321-723-9176
Angel Knight, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 5th Ave, Indialantic, FL 32903 Phone: 321-327-2980
Valerie Halstead, PHD, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 763 Peregrine Dr, Indialantic, FL 32903 Phone: 321-794-9909
Mr. Richard M Marino, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Melbourne Ave, Indialantic, FL 32903 Phone: 321-794-4752 Fax: 866-268-1619

Thailisse Fernandez, FNP-C - Medicare Nurse Practitioner in Indialantic, FL