Kaishla Marie Fernandez, RN in Depew, NY - Medicare Nurse Practitioner

Kaishla Marie Fernandez, RN is a medicare enrolled "Nurse Practitioner - Family" in Depew, New York. Her current practice location is 3332 Walden Ave, Depew, New York. You can reach out to her office (for appointments etc.) via phone at (716) 430-8995.

Kaishla Marie Fernandez is licensed to practice in New York (license number F354185-01) 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 1306611074.

Contact Information

	Kaishla Marie Fernandez, RN
	3332 Walden Ave, Depew, NY 14043-2400
	(716) 430-8995
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaishla Marie Fernandez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3332 Walden Ave, Depew, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306611074
Provider Enumeration Date: 11/22/2023
Last Update Date: 04/16/2025

Medicare PECOS Information:

PECOS PAC ID: 3870012040
Enrollment ID: I20250521002586

Medical Identifiers

Medical identifiers for Kaishla Marie Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306611074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	777682-01 (New York)	Secondary
251J00000X	Nursing Care	777682-01 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F354185-01 (New York)	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. Kaishla Marie Fernandez allows following entities to bill medicare on her behalf.

Entity Name	Family Choice Of New York Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720312754 PECOS PAC ID: 1355615477 Enrollment ID: O20170927003380

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. Kaishla Marie 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
Kaishla Marie Fernandez, RN 4768 Broadway, Depew, NY 14043-3820 Ph: (716) 430-8995	Kaishla Marie Fernandez, RN 3332 Walden Ave, Depew, NY 14043-2400 Ph: (716) 430-8995

Reviews and Comments

Nurse Practitioner Nurses in Depew, NY

Ashley Anne Mcgregor, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4893 Transit Rd, Depew, NY 14043 Phone: 716-608-7040
Shannon Marie Packard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4893 Transit Rd, Depew, NY 14043 Phone: 716-608-7040 Fax: 716-608-7065
Ms. Lindsay Ashley Gliss, MS PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 64 Colony St, Depew, NY 14043 Phone: 716-684-3974
Mrs. Claire Elizabeth Wittlinger, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6199 Transit Rd, Depew, NY 14043 Phone: 716-891-1631 Fax: 716-961-4490
Dr. Angelyn Arielle Brown, DNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3332 Walden Ave Ste 1100, Depew, NY 14043 Phone: 716-668-7051 Fax: 716-668-7069
Jennifer M Honer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3218 Walden Ave, Depew, NY 14043 Phone: 716-923-4380
Jenna Anne Richey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 571 Terrace Blvd, Depew, NY 14043 Phone: 716-683-4196 Fax: 716-646-0763

Kaishla Marie Fernandez, RN - Medicare Nurse Practitioner in Depew, NY