Dr Miguel A Hernandez, MD - Medicare Family Practice in Modesto, CA

Dr Miguel A Hernandez, MD is a medicare enrolled "Family Medicine" physician in Modesto, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Orangeburg Medical Group and his current practice location is 1448 Florida Ave, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 523-1884.

Dr Miguel A Hernandez is licensed to practice in California (license number A67811) 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 1376643213.

Contact Information

Dr Miguel A Hernandez, MD
1448 Florida Ave,
Modesto, CA 95350-4424
(209) 523-1884
(209) 522-6002

Map and Direction




Physician's Profile

Full NameDr Miguel A Hernandez
GenderMale
SpecialityFamily Practice
Experience30 Years
Location1448 Florida Ave, Modesto, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Miguel A Hernandez attended and graduated from University Of Southern California Keck School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1376643213
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 03/09/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3173693066
  • Enrollment ID: I20080616000450

Medical Identifiers

Medical identifiers for Dr Miguel A Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376643213NPI-NPPES
GR0021000MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A67811 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterModesto, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orangeburg Medical Group53958152867

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 Miguel A Hernandez allows following entities to bill medicare on his behalf.
Entity NameOrangeburg Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467595389
PECOS PAC ID: 5395815286
Enrollment ID: O20080604000259

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 Miguel A 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 AddressPractice Location Address
Dr Miguel A Hernandez, MD
1448 Florida Ave,
Modesto, CA 95350-4424

Ph: (209) 523-1884
Dr Miguel A Hernandez, MD
1448 Florida Ave,
Modesto, CA 95350-4424

Ph: (209) 523-1884

Reviews and Comments


Family Medicine Doctors in Modesto, CA

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Gustavo M Galeano, MD
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Giang Ngoc Lam, M.D.
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Practice Location: 1541 Florida Ave, Suite 200, Modesto, CA 95350
Phone: 209-577-3388    Fax: 209-523-0764

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.