Dr Anatoly Kristiann Hernandez, DO is a medicare enrolled "Anesthesiology" physician in Twentynine Palms, California. His current practice location is
1145 Sturgis Road, Twentynine Palms, California. You can reach out to his office (for appointments etc.) via phone at
(760) 830-2307.
Dr Anatoly Kristiann Hernandez is licensed to practice in California (license number 20A10642) 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 1457555161.
Physician's Profile
Full Name | Dr Anatoly Kristiann Hernandez |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 1145 Sturgis Road, Twentynine Palms, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457555161
- Provider Enumeration Date: 06/14/2007
- Last Update Date: 12/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395969232
- Enrollment ID: I20140614000212
Medical Identifiers
Medical identifiers for Dr Anatoly Kristiann Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457555161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 20A10642 (California) | 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 Anatoly Kristiann Hernandez allows following entities to bill medicare on his behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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 Anatoly Kristiann Hernandez 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 |
Dr Anatoly Kristiann Hernandez, DO 1145 Sturgis Road, Twentynine Palms, CA 92278 Ph: (760) 830-2307 | Dr Anatoly Kristiann Hernandez, DO 1145 Sturgis Road, Twentynine Palms, CA 92278 Ph: (760) 830-2307 |
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