Mr Glenn R Fernandes, APRN, BC in Fort Walton Beach, FL

Mr Glenn R Fernandes, APRN, BC is a medicare enrolled "Nurse Practitioner - Family" in Fort Walton Beach, Florida. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice White-wilson Medical Center Pa and his current practice location is 1032 Mar Walt Dr Unit 210, Fort Walton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (508) 638-2608.

Mr Glenn R Fernandes is licensed to practice in Florida (license number APRN11017375) 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 1841356441.

Contact Information

	Mr Glenn R Fernandes, APRN, BC
	1032 Mar Walt Dr Unit 210, Fort Walton Beach, FL 32547-6661
	(508) 638-2608
	(850) 862-6098

Map and Direction

Provider's Profile

Full Name	Mr Glenn R Fernandes
Gender	Male
Speciality	Nurse Practitioner
Experience	23 Years
Location	1032 Mar Walt Dr Unit 210, Fort Walton Beach, 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.

Medical Education and Training:

Mr Glenn R Fernandes graduated from nursing school in 2001

NPI Data:

NPI Number: 1841356441
Provider Enumeration Date: 12/28/2006
Last Update Date: 07/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5597086827
Enrollment ID: I20220718003883

Medical Identifiers

Medical identifiers for Mr Glenn R Fernandes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841356441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN126877 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11017375 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fort Walton Beach Medical Center	Fort walton beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
White-wilson Medical Center Pa	4082510607	79

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. Mr Glenn R Fernandes allows following entities to bill medicare on his behalf.

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

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. Mr Glenn R 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
Mr Glenn R Fernandes, APRN, BC 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 Ph: (850) 863-8100	Mr Glenn R Fernandes, APRN, BC 1032 Mar Walt Dr Unit 210, Fort Walton Beach, FL 32547-6661 Ph: (508) 638-2608

Reviews and Comments

Nurse Practitioner Nurses in Fort Walton Beach, FL

Celeste Ann Macdonald, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-431-6183 Fax: 850-431-6497
Brittany Nicole Grimes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-8100 Fax: 850-243-0594
Sylvia Wages, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 Phone: 850-226-6801 Fax: 877-413-5104
Cynthia D. Wirkus, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 221 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-9240
Robert Nicholas Donofrio, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 137 Hospital Dr Ne, Fort Walton Beach, FL 32548 Phone: 850-833-7451 Fax: 850-833-7439
Emily Herman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 Green Acres Rd Ste 103, Fort Walton Beach, FL 32547 Phone: 850-862-2385
Julie Clausen Powell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Mar Walt Drive, Cvs Minute Clinic, Fort Walton Beach, FL 32547 Phone: 850-863-8219 Fax: 850-863-8249

Mr Glenn R Fernandes, APRN, BC - Medicare Nurse Practitioner in Fort Walton Beach, FL