Rosita M Fernandez, in Burlington, WI - Medicare Psychologist Provider

Rosita M Fernandez, is a medicare enrolled "Psychologist" provider in Burlington, Wisconsin. Her current practice location is 318 Margaret Ct, Burlington, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (812) 201-3912.

Rosita M Fernandez is licensed to practice in Wisconsin (license number 3535) 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 1376062851.

Contact Information

	Rosita M Fernandez,
	318 Margaret Ct, Burlington, WI 53105-2330
	(812) 201-3912
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rosita M Fernandez
Gender	Female
Speciality	Psychologist
Location	318 Margaret Ct, Burlington, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376062851
Provider Enumeration Date: 09/15/2017
Last Update Date: 01/08/2022

Medicare PECOS Information:

PECOS PAC ID: 7416221502
Enrollment ID: I20170928001916

Medical Identifiers

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

Identifier	Type	State	Issuer
1376062851	NPI	-	NPPES
1376062851	Medicaid	WI
300007198IN	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3535 (Wisconsin)	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. Rosita M Fernandez allows following entities to bill medicare on her behalf.

Entity Name	Hamilton Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205980901 PECOS PAC ID: 4284533662 Enrollment ID: O20040105000638

Entity Name	Coffee Clutch Counseling Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477027696 PECOS PAC ID: 5698015089 Enrollment ID: O20190321001805

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. Rosita M 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
Rosita M Fernandez, 318 Margaret Ct, Burlington, WI 53105-2330 Ph: (812) 201-3912	Rosita M Fernandez, 318 Margaret Ct, Burlington, WI 53105-2330 Ph: (812) 201-3912

Reviews and Comments

Psychologist in Burlington, WI

Dr. Cassandra Braam, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 345 Milwaukee Ave, Burlington, WI 53105 Phone: 262-763-9191 Fax: 262-763-7767
Dr. Timothy George Caufield, PSCYHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 209 N Dodge St, Burlington, WI 53105 Phone: 262-767-8667 Fax: 262-767-8798
Dr. Dean Edward Stolldorf, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 441 Milwaukee Ave Ste 2, Burlington, WI 53105 Phone: 262-767-0440 Fax: 262-767-0777
Kathryn D Marolt, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 197 W Chestnut St Ste 100, Burlington, WI 53105 Phone: 262-763-9191
Dr. Timothy P Ellingstad, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 190 Gardner Ave, #3, Burlington, WI 53105 Phone: 262-763-7766 Fax: 262-763-9326
Amelia Beth Brost, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 345 Milwaukee Ave, Burlington, WI 53105 Phone: 262-763-9191

Rosita M Fernandez, - Medicare Psychologist in Burlington, WI