Dr James Fernandez, MD is a medicare enrolled "Otolaryngology" physician in Granite City, Illinois. He went to Saint Louis University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Southern Illinois Healthcare Foundation, Inc., Touchette Regional Hospital Inc and his current practice location is
2120 Madison Ave, Suite 200, Granite City, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 451-1800.
Dr James Fernandez is licensed to practice in Illinois (license number ) 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 1528037280.
Physician's Profile
| Full Name | Dr James Fernandez |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 43 Years |
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| Location | 2120 Madison Ave, Granite City, 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. |
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Medical Education and Training:
- Dr James Fernandez attended and graduated from Saint Louis University School Of Medicine in 1981
NPI Data:
- NPI Number: 1528037280
- Provider Enumeration Date: 03/15/2006
- Last Update Date: 01/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 0446256838
- Enrollment ID: I20120530000356
Medical Identifiers
Medical identifiers for Dr James Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528037280 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | R6F41 (Missouri) | Secondary |
| 207Y00000X | Otolaryngology | (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Illinois Healthcare Foundation, Inc. | 1456256874 | 99 |
| Touchette Regional Hospital Inc | 7416843370 | 47 |
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 James Fernandez allows following entities to bill medicare on his behalf.
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641 |
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| Entity Name | Touchette Regional Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922019926
PECOS PAC ID: 7416843370
Enrollment ID: O20040226000538 |
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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 James 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 |
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Dr James Fernandez, MD
59 Lake Frst,
Saint Louis, MO 63117-1303
Ph: () - | Dr James Fernandez, MD
2120 Madison Ave, Suite 200,
Granite City, IL 62040-4744
Ph: (618) 451-1800 |
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