Heshan Jude Fernando, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Grand Rapids, Michigan. His current practice location is
275 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 267-7401.
Heshan Jude Fernando is licensed to practice in Michigan (license number 6301017923) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942860119.
Healthcare Provider's Profile
| Full Name | Heshan Jude Fernando |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 275 Michigan St Ne, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Heshan Jude Fernando attended and graduated from in
NPI Data:
- NPI Number: 1942860119
- Provider Enumeration Date: 06/19/2019
- Last Update Date: 12/09/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Heshan Jude Fernando such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942860119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 6301017923 (Michigan) | Secondary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 6301017923 (Michigan) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 6301017923 (Michigan) | Primary |
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. Heshan Jude Fernando 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 |
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Heshan Jude Fernando, PHD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560
Ph: () - | Heshan Jude Fernando, PHD
275 Michigan St Ne,
Grand Rapids, MI 49503-2531
Ph: (616) 267-7401 |
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