| Ms Thalia Fernandez, C-AA | |
|
615 S. New Ballas Rd. Dept Of Anesthesia, St. Louis, MO 63141 | |
| (636) 386-9224 | |
| (636) 386-7679 |
| Full Name | Ms Thalia Fernandez |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 1 Years |
| Location | 615 S. New Ballas Rd. Dept Of Anesthesia, St. Louis, Missouri |
| 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 |
|---|---|---|---|
| 1851130314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | PENDING (Missouri) | Secondary |
| 367H00000X | Anesthesiologist Assistant | AA1053 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Regional Hospital | Hollywood, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sheridan Healthcorp Inc | 3173429693 | 849 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Thalia Fernandez, C-AA 339 Consort Dr., Ballwin, MO 63011-4439 Ph: (636) 386-9224 | Ms Thalia Fernandez, C-AA 615 S. New Ballas Rd. Dept Of Anesthesia, St. Louis, MO 63141 Ph: (636) 386-9224 |
Mr. Jesse Graham Gibbons, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3635 Vista, St. Louis, MO 63110 Phone: 314-577-8000 | |
Ms. Nancy M Behnen, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3635 Vista Avenue, Fdt-3, St. Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Mrs. Kristen Doherty, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 615 S. New Ballas Rd., Dept. Of Anesthesiology, St. Louis, MO 63141 Phone: 314-251-4687 Fax: 636-386-7679 |