Benjamin Fernandes, APRN is a medicare enrolled "Psychiatry & Neurology - Geriatric Psychiatry" in Manchester, New Hampshire. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Jwalant Vadalia Md Pc and his current practice location is
138 Webster St, Manchester, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 645-5977.
Benjamin Fernandes is licensed to practice in New Hampshire (license number 069735-23) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457912065.
Provider's Profile
| Full Name | Benjamin Fernandes |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 138 Webster St, Manchester, New Hampshire |
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| Accepts Medicare Assignments | Yes. He 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:
- Benjamin Fernandes graduated from nursing school in 2018
NPI Data:
- NPI Number: 1457912065
- Provider Enumeration Date: 06/25/2019
- Last Update Date: 08/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284965906
- Enrollment ID: I20191010003007
Medical Identifiers
Medical identifiers for Benjamin Fernandes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457912065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | 069735-23 (New Hampshire) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 069735-23 (New Hampshire) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 069735-23 (New Hampshire) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jwalant Vadalia Md Pc | 5698666337 | 16 |
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. Benjamin Fernandes allows following entities to bill medicare on his behalf.
| Entity Name | Jwalant Vadalia Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346329133
PECOS PAC ID: 5698666337
Enrollment ID: O20040323000491 |
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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. Benjamin Fernandes 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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Benjamin Fernandes, APRN
42 Rolling Hill Dr,
Weare, NH 03281-5559
Ph: () - | Benjamin Fernandes, APRN
138 Webster St,
Manchester, NH 03104-2512
Ph: (603) 645-5977 |
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