| Jenelle Fernandez, MD | |
|
1601 Center St, Mobile, AL 36604-1541 | |
| (251) 410-5437 | |
| (251) 434-3851 |
| Full Name | Jenelle Fernandez |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 1601 Center St, Mobile, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790147874 | NPI | - | NPPES |
| 4HYBA | Other | FL | BLUE CROSS BLUE SHIELD |
| 114879000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | ME139345 (Florida) | Secondary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | MD.48324 (Alabama) | Primary |
| Entity Name | Usa Health Physician Billing Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenelle Fernandez, MD Po Box 746450, Atlanta, GA 30374-6450 Ph: (866) 401-3057 | Jenelle Fernandez, MD 1601 Center St, Mobile, AL 36604-1541 Ph: (251) 410-5437 |
Ladonna M. Crews, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1601 Center St, Ste 1n, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3802 | |
Charlotte Steelman Macdonell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Center St Ste 1n, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-434-3802 | |
Dr. Melissa Leigh Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 Center St, Mobile, AL 36604 Phone: 251-415-1000 Fax: 251-415-1001 | |
Dr. Kalsang Dolma, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1700 Center St, Mobile, AL 36604 Phone: 251-415-1055 Fax: 251-415-1045 | |
Mrs. Robin C Mcnair, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3719 Dauphin St, Ste 102, Mobile, AL 36608 Phone: 251-344-1502 Fax: 251-342-1116 | |
Daniel T Mccall Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 248 Cox St, Suite A, Mobile, AL 36604 Phone: 251-405-4524 Fax: 251-405-4521 | |
Dr. Stephanie Jeanine Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Center St, Mobile, AL 36604 Phone: 251-410-5437 Fax: 251-415-8578 |