Benjamin Corey Fernandez, C-AA, DPT is a medicare enrolled "Anesthesiologist Assistant" provider in Destin, Florida. His current practice location is
1225 Airport Rd, Destin, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 650-7606.
Benjamin Corey Fernandez is licensed to practice in Florida (license number AA472) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356697577.
Healthcare Provider's Profile
| Full Name | Benjamin Corey Fernandez |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiologist Assistant |
|---|
| Location | 1225 Airport Rd, Destin, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1356697577
- Provider Enumeration Date: 07/25/2012
- Last Update Date: 01/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 8022266006
- Enrollment ID: I20181031002848
Medical Identifiers
Medical identifiers for Benjamin Corey Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356697577 | NPI | - | NPPES |
| Y0CP4 | Other | FL | BCBS |
| P01240342 | Other | | RAILROAD MEDICARE |
| 101045800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT27491 (Florida) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA472 (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. Benjamin Corey Fernandez allows following entities to bill medicare on his behalf.
| Provider Name | Destin Anesthesia, Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1891726394
PECOS PAC ID: 9830158500
Enrollment ID: O20041007000514 |
|---|
| Provider Name | Anesthesia Dynamics Llc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117 |
|---|
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. Benjamin Corey 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 |
|---|
Benjamin Corey Fernandez, C-AA, DPT
1225 Airport Rd,
Destin, FL 32541-2909
Ph: (850) 650-7606 | Benjamin Corey Fernandez, C-AA, DPT
1225 Airport Rd,
Destin, FL 32541-2909
Ph: (850) 650-7606 |
Reviews and Comments