| Mr Glenn R Fernandes, APRN, BC | |
|
550 Redstone Ave W Ste 200, Crestview, FL 32536-6429 | |
| (850) 746-2520 | |
| (850) 682-5917 |
| Full Name | Mr Glenn R Fernandes |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 550 Redstone Ave W Ste 200, Crestview, 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 |
|---|---|---|---|
| 1841356441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11017375 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Hospital | Pensacola, FL | Hospital |
| Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
| North Okaloosa Medical Center | Crestview, FL | Hospital |
| Entity Name | White-wilson Medical Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467437277 PECOS PAC ID: 4082510607 Enrollment ID: O20031212000140 |
| Entity Name | Sacred Heart Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
| Entity Name | Bluewater Primary Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831936962 PECOS PAC ID: 8527597533 Enrollment ID: O20250121001413 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Glenn R Fernandes, APRN, BC 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Mr Glenn R Fernandes, APRN, BC 550 Redstone Ave W Ste 200, Crestview, FL 32536-6429 Ph: (850) 746-2520 |
Mrs. Leslie Ann Rossley, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555 | |
Adam C Hargis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 E Redstone Ave, Crestview, FL 32539 Phone: 859-669-8100 | |
Ashleigh Blakely, MSN, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 151 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-8100 | |
Sarah Stone, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4625 Scarlet Dr E, Crestview, FL 32539 Phone: 573-673-1328 | |
Mrs. Michelle Therese Koski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 E James Lee Blvd, Crestview, FL 32539 Phone: 850-682-1002 | |
Ms. Kelley Michelle Coone, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 E Redstone Ave, Crestview, FL 32539 Phone: 850-398-8725 | |
Lita Marie Danlag, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 369 N Main St, Crestview, FL 32536 Phone: 850-398-6963 |