| Rodolfo S Fernandez, MD | |
|
1255 State Road 60 E Ste 500, Lake Wales, FL 33853-4302 | |
| (863) 676-8237 | |
| (863) 676-8207 |
| Full Name | Rodolfo S Fernandez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 1255 State Road 60 E Ste 500, Lake Wales, Florida |
| 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 |
|---|---|---|---|
| 1649230061 | NPI | - | NPPES |
| 004170900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME74306 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Estero, FL | Home health agency |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Collier Hma Physician Management Llc | 2769495167 | 94 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
| Entity Name | Central Florida Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467449660 PECOS PAC ID: 0143127951 Enrollment ID: O20031218000228 |
| Entity Name | Collier Hma Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245282979 PECOS PAC ID: 2769495167 Enrollment ID: O20060802000264 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Rodolfo S Fernandez, MD 1255 State Road 60 E Ste 500, Lake Wales, FL 33853-4302 Ph: (863) 676-8237 | Rodolfo S Fernandez, MD 1255 State Road 60 E Ste 500, Lake Wales, FL 33853-4302 Ph: (863) 676-8237 |
Dr. Caroline C Honculada, M D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 S 11th St Ste 1, Lake Wales, FL 33853 Phone: 863-679-9494 Fax: 863-679-8866 | |
Dr. Mahesh Gandhi Allam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Druid Cir, Lake Wales, FL 33853 Phone: 863-877-2411 Fax: 863-354-6617 | |
Dr. Andrei Hastings, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 | |
Mr. O'shaine Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 | |
Dr. Sunil Nihalani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 S 11th St, Lake Wales, FL 33853 Phone: 863-679-8000 Fax: 863-679-8008 | |
Daniela Patricia Trelles Garcia, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1255 State Road 60 E Ste 300, Lake Wales, FL 33853 Phone: 863-421-7722 | |
Dr. Carolyn D Pass, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1143 State Road 60 E, Lake Wales, FL 33853 Phone: 863-679-8815 Fax: 863-679-8335 |