| Dr Ajit Fernandes, MD | |
|
2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 | |
| (917) 903-7502 | |
| Not Available |
| Full Name | Dr Ajit Fernandes |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 2101 W Arlington Blvd Ste 210, Greenville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700088580 | NPI | - | NPPES |
| 112764700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME153899 (Florida) | Secondary |
| 2085B0100X | Radiology - Body Imaging | 2008-01170 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis-downtown | Greenville, SC | Hospital |
| Mount Sinai St Luke's Roosevelt Hospital | New york, NY | Hospital |
| The University Hospital | Newark, NJ | Hospital |
| Mount Sinai Hospital | New york, NY | Hospital |
| Mount Sinai Beth Israel | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fpa Hospital Based | 4789826694 | 361 |
| Radiology Associates Of South Carolina Llc | 3779932959 | 82 |
| University Physician Associates Of New Jersey Inc | 9830003417 | 320 |
| Radiology Associates Of South Carolina Llc | 3779932959 | 82 |
| Entity Name | North Shore Medical Group Of The Mount Sinai School Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275640609 PECOS PAC ID: 8921999087 Enrollment ID: O20040320000412 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
| Entity Name | Fpa Hospital Based |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ajit Fernandes, MD 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 Ph: (917) 903-7502 | Dr Ajit Fernandes, MD 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 Ph: (917) 903-7502 |
Dr. Evan Michael Leitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 529-317-6942 | |
Michael Robert Coan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
George Lee Jordan Iii, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
Dr. Rakesh Devendra Amin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 252-931-7694 | |
Michael David Tripp, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-752-5000 Fax: 252-931-7694 | |
Dr. Eric Meyer Martin, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 W Arlington Blvd Ste 210, Greenville, NC 27834 Phone: 252-931-7638 Fax: 252-931-7694 | |
Aidan Michael Burke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-1888 |