| Justin G Fernandez, MD | |
|
1124 W 21st St, Andover, KS 67002-5500 | |
| (316) 300-4000 | |
| (316) 300-4040 |
| Full Name | Justin G Fernandez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 1124 W 21st St, Andover, Kansas |
| 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 |
|---|---|---|---|
| 1992066864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9407852 (Kansas) | Secondary |
| 208M00000X | Hospitalist | 04-38332 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | 04-38332 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kansas Medical Center Llc | Andover, KS | Hospital |
| Hutchinson Regional Medical Center Inc | Hutchinson, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hutchinson Regional Medical Center Inc | 0648181198 | 122 |
| Kansas Medical Center Llc | 2668476862 | 42 |
| Entity Name | Hutchinson Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972605285 PECOS PAC ID: 0648181198 Enrollment ID: O20040119000578 |
| Entity Name | Mcpherson Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164524591 PECOS PAC ID: 1153232418 Enrollment ID: O20040206000599 |
| Entity Name | William Newton Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548229149 PECOS PAC ID: 5294648937 Enrollment ID: O20050302000638 |
| Entity Name | Commonspirit Kansas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659360196 PECOS PAC ID: 4789595844 Enrollment ID: O20050302000707 |
| Entity Name | Kansas Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255380127 PECOS PAC ID: 2668476862 Enrollment ID: O20061109000659 |
| Entity Name | Vigilias Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407242241 PECOS PAC ID: 9133433279 Enrollment ID: O20150803000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin G Fernandez, MD 1124 W 21st St, Andover, KS 67002-5500 Ph: (316) 300-4000 | Justin G Fernandez, MD 1124 W 21st St, Andover, KS 67002-5500 Ph: (316) 300-4000 |
Casandra Lea Butler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1124 W 21st St, Andover, KS 67002 Phone: 316-300-4000 | |
Dr. Sitha Uy Miller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 943 N. Andover Road, Andover, KS 67002 Phone: 316-733-4747 Fax: 316-733-5253 |