Erica Fernandes, PT, MS in Portage, MI - Medicare Physical Therapist Provider

Erica Fernandes, PT, MS is a medicare enrolled "Physical Therapist" provider in Portage, Michigan. Her current practice location is 291 W Centre Ave, Portage, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 382-8489.

Erica Fernandes is licensed to practice in Michigan (license number 5501017168) 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 1174068555.

Contact Information

	Erica Fernandes, PT, MS
	291 W Centre Ave, Portage, MI 49024-5353
	(269) 382-8489
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Erica Fernandes
Gender	Female
Speciality	Physical Therapist
Location	291 W Centre Ave, Portage, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174068555
Provider Enumeration Date: 12/21/2016
Last Update Date: 10/11/2019

Medicare PECOS Information:

PECOS PAC ID: 6103344106
Enrollment ID: I20250514000440

Medical Identifiers

Medical identifiers for Erica Fernandes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174068555	NPI	-	NPPES
4374045-00	Medicaid	MD
1447657507	Other	MD	NPI TYPE 2/ ORGANIZATION NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	25894 (Maryland)	Secondary
225100000X	Physical Therapist	5501017168 (Michigan)	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. Erica Fernandes allows following entities to bill medicare on her behalf.

Provider Name	Tmi East Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336709252 PECOS PAC ID: 3274864665 Enrollment ID: O20200420003011

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. Erica 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
Erica Fernandes, PT, MS 291 W Centre Ave, Portage, MI 49024-5353 Ph: (269) 382-8489	Erica Fernandes, PT, MS 291 W Centre Ave, Portage, MI 49024-5353 Ph: (269) 382-8489

Reviews and Comments

Physical Therapist in Portage, MI

Will Knoll, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6016 Lovers Ln Ste 3, Portage, MI 49002 Phone: 269-329-0934
Mr. Subhransu Mohan Samanta, BPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5066 Trumpeter Dr, Portage, MI 49024 Phone: 269-353-9075
Focus Pt Services Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9245 Austin Dr, Portage, MI 49002 Phone: 574-361-9396 Fax: 269-321-0156
Megan Laura Cooper, P.T., D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1423 W Centre Ave, Portage, MI 49024 Phone: 269-323-4300
Patricia V Krautmann, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5220 Lovers Ln Ste 130, Portage, MI 49002 Phone: 269-459-3693
Mr. Rajendra C Sharma, PHYSICALTHERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 S Westnedge Ave, Portage, MI 49002 Phone: 269-217-0670
Actionphysicaltherapyyoga&wellnesscenterinc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5811 S Westnedge Ave, Portage, MI 49002 Phone: 269-217-0670 Fax: 000-000-0000

Erica Fernandes, PT, MS - Medicare Physical Therapist in Portage, MI