Dr Nicolas Fernandez, PHD is a medicare enrolled "Psychologist" provider in New York, New York. His current practice location is
600 3rd Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 547-8861.
Dr Nicolas Fernandez is licensed to practice in New York (license number 024934) 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 1215549589.
Healthcare Provider's Profile
| Full Name | Dr Nicolas Fernandez |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 600 3rd Ave, New York, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215549589
- Provider Enumeration Date: 08/18/2020
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042737421
- Enrollment ID: I20250508002678
Medical Identifiers
Medical identifiers for Dr Nicolas Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215549589 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 024934 (New York) | Secondary |
| 103T00000X | Psychologist | 024934 (New York) | 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. Dr Nicolas Fernandez allows following entities to bill medicare on his behalf.
| Entity Name | Aa Psychology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932975919
PECOS PAC ID: 2860927241
Enrollment ID: O20241121003012 |
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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. Dr Nicolas 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 |
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Dr Nicolas Fernandez, PHD
3 Monell Pl,
Beacon, NY 12508-1407
Ph: (203) 942-8283 | Dr Nicolas Fernandez, PHD
600 3rd Ave,
New York, NY 10016-1901
Ph: (212) 547-8861 |
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