Yisell Fernandez, is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Miami Beach, Florida. Her current practice location is
4300 Alton Rd, Miami Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 674-2121.
Yisell Fernandez is licensed to practice in Florida (license number 11026428) 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 1811681505.
Physician's Profile
| Full Name | Yisell Fernandez |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 4300 Alton Rd, Miami Beach, Florida |
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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: 1811681505
- Provider Enumeration Date: 06/06/2023
- Last Update Date: 02/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345693677
- Enrollment ID: I20240201004589
Medical Identifiers
Medical identifiers for Yisell Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811681505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 11026428 (Florida) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 11026428 (Florida) | 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. Yisell Fernandez allows following entities to bill medicare on her behalf.
| Entity Name | Mount Sinai Medical Center Urology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871756064
PECOS PAC ID: 2466513288
Enrollment ID: O20081211000252 |
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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. Yisell 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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Yisell Fernandez,
511 Sw 115th Ave,
Miami, FL 33174-1074
Ph: () - | Yisell Fernandez,
4300 Alton Rd,
Miami Beach, FL 33140-2948
Ph: (305) 674-2121 |
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