| Alicia-maria Fernandez, DO | |
|
402 W Lake St, Friendship, WI 53934-9699 | |
| (608) 339-3331 | |
| Not Available |
| Full Name | Alicia-maria Fernandez |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 402 W Lake St, Friendship, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407043458 | NPI | - | NPPES |
| K400386662 | Other | WI | MEDICARE PIN |
| 43545200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 50947 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 50947 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Transitions Home Health Of Central Wisconsin | Stevens point, WI | Home health agency |
| Recover Health Of Wisconsin Inc | Baraboo, WI | Home health agency |
| Mile Bluff Medical Center | Mauston, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mile Bluff Medical Center Inc | 8527971399 | 74 |
| Entity Name | Moundview Memorial Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
| Entity Name | Mile Bluff Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609912005 PECOS PAC ID: 8527971399 Enrollment ID: O20031205000618 |
| Entity Name | Primary Connection Health Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457370744 PECOS PAC ID: 3870577935 Enrollment ID: O20040616000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia-maria Fernandez, DO 402 W Lake St, Friendship, WI 53934-9699 Ph: (608) 339-3331 | Alicia-maria Fernandez, DO 402 W Lake St, Friendship, WI 53934-9699 Ph: (608) 339-3331 |