Angelito Fernandez, in Pontiac, IL - Medicare Family Medicine

Angelito Fernandez, is a medicare enrolled "Family Medicine" physician in Pontiac, Illinois. His current practice location is 1506 W Reynolds St, Pontiac, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 844-6123.

Angelito Fernandez is licensed to practice in Illinois (license number 036-053418) 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 1700966116.

Contact Information

	Angelito Fernandez,
	1506 W Reynolds St, Pontiac, IL 61764
	(815) 844-6123
	(815) 884-7851

Map and Direction

Physician's Profile

Full Name	Angelito Fernandez
Gender	Male
Speciality	Family Medicine
Location	1506 W Reynolds St, Pontiac, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700966116
Provider Enumeration Date: 10/17/2006
Last Update Date: 03/01/2011

Medicare PECOS Information:

PECOS PAC ID: 5092857896
Enrollment ID: I20100115000824

Medical Identifiers

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

Identifier	Type	State	Issuer
1700966116	NPI	-	NPPES
036053418	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036-053418 (Illinois)	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. Angelito Fernandez allows following entities to bill medicare on his behalf.

Entity Name	Home Visiting Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154573673 PECOS PAC ID: 5597825117 Enrollment ID: O20081126000460

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. Angelito 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
Angelito Fernandez, 1506 W Reynolds St, Pontiac, IL 61764 Ph: (815) 844-6123	Angelito Fernandez, 1506 W Reynolds St, Pontiac, IL 61764 Ph: (815) 844-6123

Reviews and Comments

Family Medicine Doctors in Pontiac, IL

Gregorio Manuel Manabat, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1504 W Reynolds St, Ste C, Pontiac, IL 61764 Phone: 815-842-2893 Fax: 815-844-5960
Andrew Wherley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-2001 Fax: 815-842-6803
Dr. Steven S. Norris, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633
Kenneth N Jordan, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 520 West Madison Street, Madison Street Clinic Pc, Pontiac, IL 61764 Phone: 815-844-6106 Fax: 815-842-2526
John C Purnell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 E Water St, Pontiac, IL 61764 Phone: 815-842-1166 Fax: 815-844-5968
Dawn Lemmert, Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633 Fax: 815-844-6309

Angelito Fernandez, - Medicare Family Medicine in Pontiac, IL