Erika Blancq Fernandez, in Gardena, CA - Medicare Speech-Language Pathologist Provider

Erika Blancq Fernandez, is a medicare enrolled "Speech-language Pathologist" provider in Gardena, California. Her current practice location is 18726 S Western Ave Ste 204, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 352-6405.

Erika Blancq Fernandez is licensed to practice in California (license number 15560) 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 1720419013.

Contact Information

	Erika Blancq Fernandez,
	18726 S Western Ave Ste 204, Gardena, CA 90248-3813
	(310) 352-6405
	(310) 356-3682

Map and Direction

Healthcare Provider's Profile

Full Name	Erika Blancq Fernandez
Gender	Female
Speciality	Speech-language Pathologist
Location	18726 S Western Ave Ste 204, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720419013
Provider Enumeration Date: 12/11/2013
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 4880951318
Enrollment ID: I20171207003044

Medical Identifiers

Medical identifiers for Erika Blancq Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720419013	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	15560 (California)	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. Erika Blancq Fernandez allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Erika Blancq 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
Erika Blancq Fernandez, 14072 Marbella St, Fontana, CA 92336-3866 Ph: (626) 376-2187	Erika Blancq Fernandez, 18726 S Western Ave Ste 204, Gardena, CA 90248-3813 Ph: (310) 352-6405

Reviews and Comments

Speech-Language Pathologist in Gardena, CA

Irene Nino De Rivera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1411 W 190th St Ste 110, Gardena, CA 90248 Phone: 310-719-3908
Julie Nguyen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1149 W 190th St Ste 2300, Gardena, CA 90248 Phone: 310-892-5812
Patricia Ann Imle, MS SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18726 S Western Ave Ste 204, Gardena, CA 90248 Phone: 310-352-6405
Antonia Fiore, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1225 W 190th St Ste 360, Gardena, CA 90248 Phone: 310-810-8184
Marie Louise Cimbora, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18726 S Western Ave Ste 204, Gardena, CA 90248 Phone: 310-652-6405
Janet Wilson, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-538-6598
Mrs. Christina Maria Smith, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18726 S Western Ave, Gardena, CA 90248 Phone: 310-352-6405

Erika Blancq Fernandez, - Medicare Speech-Language Pathologist in Gardena, CA