James Edward Fernandes, | |
2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001 | |
(910) 907-8922 | |
(910) 907-6069 |
Full Name | James Edward Fernandes |
---|---|
Gender | Male |
Speciality | Physical Therapist - Sports |
Location | 2817 Rock Merritt Ave, Fort Bragg, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588940381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | P12483 (North Carolina) | Secondary |
2251S0007X | Physical Therapist - Sports | 12483 (North Carolina) | Primary |
Provider Name | Duke University Health System, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521 |
Mailing Address | Practice Location Address |
---|---|
James Edward Fernandes, 2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001 Ph: (910) 907-8922 | James Edward Fernandes, 2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001 Ph: (910) 907-8922 |
Michael Andrew Slack, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 224-715-1689 | |
Mrs. Patricia Ann Chippendale, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Wamc Stop A, 2817 Reilly Road Mcxc Dpc Ed, Fort Bragg, NC 28310 Phone: 910-907-7109 | |
Andrew Dwight Contreras, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Rd, Fort Bragg, NC 28310 Phone: 910-907-8617 Fax: 910-907-6069 | |
Forrest Stieg, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 571-205-1721 | |
Sara Samchok, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8707 | |
Mary Rose Del Carmen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Avenue, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Michael Reeks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |