Mrs Carolyn Ann Fernandez, RN, MSN, APRN-BC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Toms River, New Jersey. Her current practice location is
250 State Route 37 W Fl 2, Toms River, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 736-0300.
Mrs Carolyn Ann Fernandez is licensed to practice in New Jersey (license number 26NN09093100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013903954.
Physician's Profile
| Full Name | Mrs Carolyn Ann Fernandez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 250 State Route 37 W Fl 2, Toms River, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013903954
- Provider Enumeration Date: 09/26/2005
- Last Update Date: 08/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 4082926316
- Enrollment ID: I20150630000400
Medical Identifiers
Medical identifiers for Mrs Carolyn Ann Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013903954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 26NN09093100 (New Jersey) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 26NN09093100 (New Jersey) | Primary |
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. Mrs Carolyn Ann Fernandez allows following entities to bill medicare on her behalf.
| Entity Name | Premier Perinatal, L.l.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942489174 PECOS PAC ID: 2668519364 Enrollment ID: O20091029000338 |
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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. Mrs Carolyn Ann Fernandez 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 |
Mrs Carolyn Ann Fernandez, RN, MSN, APRN-BC 250 State Route 37 W Fl 2, Toms River, NJ 08755-8023 Ph: (732) 736-0300 | Mrs Carolyn Ann Fernandez, RN, MSN, APRN-BC 250 State Route 37 W Fl 2, Toms River, NJ 08755 Ph: (732) 736-0300 |
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