| Dr Michael Praveen Fernando, MD | |
|
9500 Euclid Ave, Gme Building, Cleveland, OH 44195-0001 | |
| (216) 444-4621 | |
| Not Available |
| Full Name | Dr Michael Praveen Fernando |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 20 Years |
| Location | 9500 Euclid Ave, Cleveland, Ohio |
| 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 |
|---|---|---|---|
| 1851558910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LC0200X | Anesthesiology - Critical Care Medicine | 57.010151 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Catherine Of Siena Hospital | Smithtown, NY | Hospital |
| St Charles Hospital | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Office Based Anesthesia Llc | 2163400375 | 24 |
| Suffolk Anesthesiology Associates Pc | 6204725740 | 70 |
| Entity Name | Suffolk Anesthesiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194826420 PECOS PAC ID: 6204725740 Enrollment ID: O20040312000960 |
| Entity Name | Office Based Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407947617 PECOS PAC ID: 2163400375 Enrollment ID: O20040713000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Praveen Fernando, MD 124 Darroch Rd, Delmar, NY 12054-3824 Ph: (914) 420-4360 | Dr Michael Praveen Fernando, MD 9500 Euclid Ave, Gme Building, Cleveland, OH 44195-0001 Ph: (216) 444-4621 |
Lacey Ann Haugen, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave Dept Of, Cleveland, OH 44195 Phone: 216-444-4674 Fax: 216-445-2536 | |
Dr. Christopher Felchlia, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-2273 | |
Matthew Serna, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave # Na-23, Cleveland, OH 44195 Phone: 216-444-2200 | |
Mr. Marc Vincent Manacci, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-3722 | |
Martin V Grady, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273 | |
Dr. Mikhal Monson, Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1000 | |
Berta Leisy Stroud, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 216-444-0660 Fax: 216-444-7360 |