Susan V Fernandez, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in West Haven, Connecticut. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Saint Francis Care Medical Group Pc and her current practice location is
950 Campbell Ave, West Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 932-5711.
Susan V Fernandez is licensed to practice in Connecticut (license number 049502) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467526772.
Physician's Profile
| Full Name | Susan V Fernandez |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 25 Years |
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| Location | 950 Campbell Ave, West Haven, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Susan V Fernandez graduated from medical school in 1999
NPI Data:
- NPI Number: 1467526772
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 11/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 8628024361
- Enrollment ID: I20110418000387
Medical Identifiers
Medical identifiers for Susan V Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467526772 | NPI | - | NPPES |
| 020A78780 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0101X | Pathology - Anatomic Pathology | 20A7878 (California) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 049502 (Connecticut) | Primary |
| 207ZC0500X | Pathology - Cytopathology | 049502 (Connecticut) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Saint Francis Care Medical Group Pc | 3274436845 | 20 |
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. Susan V Fernandez allows following entities to bill medicare on her behalf.
| Entity Name | Saint Francis Care Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760690101
PECOS PAC ID: 3274436845
Enrollment ID: O20040130000318 |
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| Entity Name | Gastroenterology Associates Of Fairfield Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285710442
PECOS PAC ID: 3274506290
Enrollment ID: O20040818000151 |
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| Entity Name | Fairfield County Pathology Consultants, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518064757
PECOS PAC ID: 7113969833
Enrollment ID: O20050524000533 |
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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. Susan V 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 |
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Susan V Fernandez, DO
950 Campbell Ave,
West Haven, CT 06516-2770
Ph: (203) 932-5711 | Susan V Fernandez, DO
950 Campbell Ave,
West Haven, CT 06516-2770
Ph: (203) 932-5711 |
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