Neelesh Fernandes, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Waipahu, Hawaii. His current practice location is
94-1480 Moaniani St, Waipahu, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 432-3100.
Neelesh Fernandes is licensed to practice in Michigan (license number 4301090644) 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 1689990319.
Physician's Profile
| Full Name | Neelesh Fernandes |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 94-1480 Moaniani St, Waipahu, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689990319
- Provider Enumeration Date: 04/20/2010
- Last Update Date: 05/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355514274
- Enrollment ID: I20111109000142
Medical Identifiers
Medical identifiers for Neelesh Fernandes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689990319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 4301090644 (Michigan) | 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. Neelesh Fernandes allows following entities to bill medicare on his behalf.
| Entity Name | Hawaii Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710945969
PECOS PAC ID: 7618880667
Enrollment ID: O20031106000625 |
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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. Neelesh Fernandes 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 |
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Neelesh Fernandes, MD
94-1480 Moaniani St,
Waipahu, HI 96797-4632
Ph: (808) 432-3100 | Neelesh Fernandes, MD
94-1480 Moaniani St,
Waipahu, HI 96797-4632
Ph: (808) 432-3100 |
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