Fernando F Illescas, MD in Bloomfield, CT - Medicare Diagnostic Radiology

Fernando F Illescas, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Bloomfield, Connecticut. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Center For Vein Restoration Ct Llc and his current practice location is 701 Cottage Grove Rd Ste E110, Bloomfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 265-2529.

Fernando F Illescas is licensed to practice in Connecticut (license number 031371) 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 1417933961.

Contact Information

	Fernando F Illescas, MD
	701 Cottage Grove Rd Ste E110, Bloomfield, CT 06002-3085
	(860) 265-2529
	(860) 463-9562

Map and Direction

Physician's Profile

Full Name	Fernando F Illescas
Gender	Male
Speciality	Diagnostic Radiology
Experience	45 Years
Location	701 Cottage Grove Rd Ste E110, Bloomfield, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Fernando F Illescas graduated from medical school in 1979

NPI Data:

NPI Number: 1417933961
Provider Enumeration Date: 12/16/2005
Last Update Date: 05/03/2018

Medicare PECOS Information:

PECOS PAC ID: 0244134054
Enrollment ID: I20051014000095

Medical Identifiers

Medical identifiers for Fernando F Illescas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417933961	NPI	-	NPPES
001313717	Medicaid	CT
010031371CT01	Other	CT	ANTHEM BC/BS
1417933961	Medicaid	CT
A2516306	Other	CT	OXFORD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	031371 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Center For Vein Restoration Ct Llc	8820232713	6

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. Fernando F Illescas allows following entities to bill medicare on his behalf.

Entity Name	Center For Vein Restoration Ct Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306282926 PECOS PAC ID: 8820232713 Enrollment ID: O20130916000084

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. Fernando F Illescas 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
Fernando F Illescas, MD 701 Cottage Grove Rd Ste E110, Bloomfield, CT 06002-3085 Ph: (860) 519-0620	Fernando F Illescas, MD 701 Cottage Grove Rd Ste E110, Bloomfield, CT 06002-3085 Ph: (860) 265-2529

Fernando F Illescas, MD - Medicare Diagnostic Radiology in Bloomfield, CT