James Edward Fernandes, - Medicare Physical Therapist in Raleigh, NC

James Edward Fernandes, is a medicare enrolled "Physical Therapist - Sports" provider in Raleigh, North Carolina. His current practice location is 7400 Six Forks Rd Ste 21, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 962-5240.

James Edward Fernandes is licensed to practice in North Carolina (license number 12483) 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 1588940381.

Contact Information

James Edward Fernandes,
7400 Six Forks Rd Ste 21,
Raleigh, NC 27615-6170
(704) 962-5240
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJames Edward Fernandes
GenderMale
SpecialityPhysical Therapist - Sports
Location7400 Six Forks Rd Ste 21, Raleigh, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588940381
  • Provider Enumeration Date: 10/25/2011
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820447204
  • Enrollment ID: I20231211001520

Medical Identifiers

Medical identifiers for James Edward Fernandes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588940381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251S0007XPhysical Therapist - Sports P12483 (North Carolina)Secondary
2251S0007XPhysical Therapist - Sports 12483 (North Carolina)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. James Edward Fernandes allows following entities to bill medicare on his behalf.
Provider NameDuke University Health System Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1558392977
PECOS PAC ID: 2567372345
Enrollment ID: O20031201000521

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. James Edward Fernandes 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 AddressPractice Location Address
James Edward Fernandes,
7735 Acc Blvd,
Raleigh, NC 27617-8631

Ph: (704) 962-5240
James Edward Fernandes,
7400 Six Forks Rd Ste 21,
Raleigh, NC 27615-6170

Ph: (704) 962-5240

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.