| Benjamin Corey Fernandez, C-AA, DPT | |
|
1225 Airport Rd, Destin, FL 32541-2909 | |
| (850) 650-7606 | |
| (850) 337-1698 |
| Full Name | Benjamin Corey Fernandez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 8 Years |
| Location | 1225 Airport Rd, Destin, 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 |
|---|---|---|---|
| 1356697577 | NPI | - | NPPES |
| 101045800 | Medicaid | FL | |
| P01240342 | Other | RAILROAD MEDICARE | |
| Y0CP4 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA472 (Florida) | Primary |
| 225100000X | Physical Therapist | PT27491 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Dynamics Llc | 3779832530 | 883 |
| Destin Anesthesia, Llc | 9830158500 | 20 |
| Entity Name | Destin Anesthesia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891726394 PECOS PAC ID: 9830158500 Enrollment ID: O20041007000514 |
| Entity Name | Anesthesia Dynamics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Corey Fernandez, C-AA, DPT 1225 Airport Rd, Destin, FL 32541-2909 Ph: (850) 650-7606 | Benjamin Corey Fernandez, C-AA, DPT 1225 Airport Rd, Destin, FL 32541-2909 Ph: (850) 650-7606 |
Zachary Thomas Nash, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1225 Airport Rd, Destin, FL 32541 Phone: 850-650-7606 |
Wesley Battiste, MMSC, PA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1225 Airport Rd, Destin, FL 32541 Phone: 850-650-7606 Fax: 850-337-1698 |