Matthew Vidal Fernandez, PT in Aztec, NM - Medicare Physical Therapist Provider

Matthew Vidal Fernandez, PT is a medicare enrolled "Physical Therapist" provider in Aztec, New Mexico. His current practice location is 505 N Main Ave, Aztec, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 334-9616.

Matthew Vidal Fernandez is licensed to practice in New Mexico (license number PT22009) 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 1851001077.

Contact Information

	Matthew Vidal Fernandez, PT
	505 N Main Ave, Aztec, NM 87410-1942
	(505) 334-9616
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Vidal Fernandez
Gender	Male
Speciality	Physical Therapist
Location	505 N Main Ave, Aztec, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851001077
Provider Enumeration Date: 11/29/2022
Last Update Date: 11/29/2022

Medicare PECOS Information:

PECOS PAC ID: 9931562071
Enrollment ID: I20230823000316

Medical Identifiers

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

Identifier	Type	State	Issuer
1851001077	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT22009 (New Mexico)	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. Matthew Vidal Fernandez allows following entities to bill medicare on his behalf.

Provider Name	Physical Therapy & Sports Medicine Of Northern New Mexico, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1306069224 PECOS PAC ID: 1951401785 Enrollment ID: O20070710000300

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. Matthew Vidal 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
Matthew Vidal Fernandez, PT 2201 N Tucker Ave Apt 1, Farmington, NM 87401-8960 Ph: () -	Matthew Vidal Fernandez, PT 505 N Main Ave, Aztec, NM 87410-1942 Ph: (505) 334-9616

Reviews and Comments

Physical Therapist in Aztec, NM

Margaret Irene Gores, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 N Main Ave, Aztec, NM 87410 Phone: 505-334-9616 Fax: 505-334-7343
Physical Therapy & Sports Medicine Of Northern New Mexico, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 505 N Main Ave, Aztec, NM 87410 Phone: 505-334-9616 Fax: 505-334-7343
Gordon Henriksen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1607 W Aztec Blvd, Aztec, NM 87410 Phone: 505-334-3695
Mr. Sid Mosiman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 604 S Rio Grande Ave, Aztec, NM 87410 Phone: 505-334-9616 Fax: 505-334-7343

Matthew Vidal Fernandez, PT - Medicare Physical Therapist in Aztec, NM