Lisvan Carrero Fernandez Sr, in College Park, MD

Lisvan Carrero Fernandez Sr, is a medicare enrolled "Internal Medicine" physician in College Park, Maryland. His current practice location is 10205 Baltimore Ave Apt 7206, College Park, Maryland. You can reach out to his office (for appointments etc.) via phone at (786) 659-7896.

Lisvan Carrero Fernandez Sr is licensed to practice in Maryland (license number D0101642) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932842432.

Contact Information

	Lisvan Carrero Fernandez Sr,
	10205 Baltimore Ave Apt 7206, College Park, MD 20740-4244
	(786) 659-7896
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisvan Carrero Fernandez Sr
Gender	Male
Speciality	Internal Medicine
Location	10205 Baltimore Ave Apt 7206, College Park, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932842432
Provider Enumeration Date: 04/14/2022
Last Update Date: 12/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1658807581
Enrollment ID: I20241216000617

Medical Identifiers

Medical identifiers for Lisvan Carrero Fernandez Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932842432	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	D0101642 (Maryland)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Lisvan Carrero Fernandez Sr allows following entities to bill medicare on his behalf.

Entity Name	Patient First Maryland Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962423632 PECOS PAC ID: 4385538735 Enrollment ID: O20040209000543

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. Lisvan Carrero Fernandez Sr 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
Lisvan Carrero Fernandez Sr, 10205 Baltimore Ave Apt 7206, College Park, MD 20740-4244 Ph: (786) 659-7896	Lisvan Carrero Fernandez Sr, 10205 Baltimore Ave Apt 7206, College Park, MD 20740-4244 Ph: (786) 659-7896

Reviews and Comments

Internal Medicine Doctors in College Park, MD

Anuja Gupta Kurichh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Berwyn House Rd, Suite 105, College Park, MD 20740 Phone: 301-982-0011 Fax: 301-476-7499
Adebowale I Ajayi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6201 Greenbelt Rd, Suite M-18, College Park, MD 20740 Phone: 301-313-9013 Fax: 301-313-9015
Dr. Judith Ann Chernoff, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: University Of Maryland University Health Center, Building 140, Campus Drive, College Park, MD 20742 Phone: 301-314-8190
Louis Edward Steinberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6201 Greenbelt Rd, U12, College Park, MD 20740 Phone: 301-345-4667 Fax: 301-345-2830
Dr. Sarah Lynn Cochran, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10105 Baltimore Ave Apt 3202, College Park, MD 20740 Phone: 301-345-2147
Mr. Michael Jerome Berard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7305 Baltimore Ave, #107, College Park, MD 20740 Phone: 301-864-2100 Fax: 301-864-5057
Dr. Alphonsus Eziagwu Okoli, M D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6201 Greenbelt Road, Suite U-6, College Park, MD 20740 Phone: 240-542-4850 Fax: 240-965-7311

Lisvan Carrero Fernandez Sr, - Medicare Internal Medicine in College Park, MD