Darryl Fernandes, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Normal, Illinois. He went to University Of Hawaii John A. Burns School Of Medicine and graduated in 1998 and has 28 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Carle West Physician Group Inc, Carle Health Care Incorporated and his current practice location is
1300 Franklin Ave Ste 210, Normal, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 452-1193.
Darryl Fernandes is licensed to practice in Illinois (license number 036108683) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336186113.
Physician's Profile
| Full Name | Darryl Fernandes |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 28 Years |
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| Location | 1300 Franklin Ave Ste 210, Normal, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Darryl Fernandes attended and graduated from University Of Hawaii John A. Burns School Of Medicine in 1998
NPI Data:
- NPI Number: 1336186113
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 10/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 9032185293
- Enrollment ID: I20040908001451
Medical Identifiers
Medical identifiers for Darryl Fernandes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336186113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208C00000X | Colon & Rectal Surgery | 036108683 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Carle West Physician Group Inc | 8921420308 | 282 |
| Carle Health Care Incorporated | 3577515774 | 1592 |
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. Darryl Fernandes allows following entities to bill medicare on his behalf.
| Entity Name | Carle Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
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| Entity Name | Carle West Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
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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. Darryl Fernandes 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 |
Darryl Fernandes, MD 1300 Franklin Ave Ste 210, Normal, IL 61761-3588 Ph: (309) 452-1193 | Darryl Fernandes, MD 1300 Franklin Ave Ste 210, Normal, IL 61761-3588 Ph: (309) 452-1193 |
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