| Patrick S Fernandes, MD | |
|
407 E Vernon Ave, Normal, IL 61761-3813 | |
| (309) 451-2231 | |
| (309) 451-2299 |
| Full Name | Patrick S Fernandes |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 44 Years |
| Location | 407 E Vernon Ave, Normal, Illinois |
| 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 |
|---|---|---|---|
| 1033172655 | NPI | - | NPPES |
| 036102220 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 036102220 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle West Physician Group Inc | 8921420308 | 275 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick S Fernandes, MD 611 W. Park St, Fapc, Urbana, IL 61801 Ph: (309) 451-2231 | Patrick S Fernandes, MD 407 E Vernon Ave, Normal, IL 61761-3813 Ph: (309) 451-2231 |
Dr. Daniel L Ha, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Dr. Ajay R Malpani, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Dr. Carlos P Capati, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Dr. David Koch, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Jesse Rd, Suite 280, Normal, IL 61761 Phone: 309-452-1788 Fax: 309-862-1302 | |
Amit Vyas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 Fort Jesse Road, Ste. 280, Normal, IL 61761 Phone: 730-945-2178 Fax: 309-862-1302 | |
Nicholas Florence, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |