| Eden Fernandez, PA-C | |
|
3300 Centennial Ln, Ellicott City, MD 21042-3600 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Eden Fernandez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 3300 Centennial Ln, Ellicott City, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255681631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0004811 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Frederick Health Hospital | Frederick, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Meritus Medical Center Inc | 7113811795 | 730 |
| Amber Hill Physical Therapy Inc | 8527963917 | 336 |
| Entity Name | Minuteclinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20050127001141 |
| Entity Name | Arthritis and Rheumatism Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447259866 PECOS PAC ID: 5597750703 Enrollment ID: O20180307000450 |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Fernandez, PA-C 3300 Centennial Ln, Ellicott City, MD 21042-3600 Ph: Not Available | Eden Fernandez, PA-C 3300 Centennial Ln, Ellicott City, MD 21042-3600 Ph: (866) 389-2727 |
Yelizaveta Bavosa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3300 Centennial Ln, Ellicott City, MD 21042 Phone: 866-389-2727 |
Stella M Blais, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10120 Baltimore National Pike, Ellicott City, MD 21042 Phone: 410-730-3399 |
Robert E Simonsen, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3570 Saint Johns Ln, Ellicott City, MD 21042 Phone: 410-461-9500 Fax: 410-461-8945 |
Esther Clinton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2702 Snowmill Ct, Ellicott City, MD 21043 Phone: 410-227-4080 |
Sophia Eun Ro, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9055 Chevrolet Dr Ste 203, Ellicott City, MD 21042 Phone: 410-750-9200 Fax: 410-750-9211 |
Juan Liu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3820 Bonnybridge Pl, Ellicott City, MD 21043 Phone: 443-854-4748 |
Mr. David John Bunnell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4610 Learned Sage, Ellicott City, MD 21042 Phone: 301-807-4095 |