| Frederico Fernandez, MD. PC | |
|
2804 Greenhill Blvd Nw Ste 101 Fort Payne AL 35968-3067 | |
| (256) 845-0023 | |
| (256) 845-0238 |
| Full Name | Frederico Fernandez, MD. PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2804 Greenhill Blvd Nw Ste 101, Fort Payne, Alabama |
| Authorized Official Name and Position | Frederico Yambao Fernandez (PRESIDENT) |
| Authorized Official Contact | 2568450023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederico Fernandez, MD. PC 2804 Greenhill Blvd Nw Ste 101 Fort Payne AL 35968-3067 Ph: (256) 845-0023 | Frederico Fernandez, MD. PC 2804 Greenhill Blvd Nw Ste 101 Fort Payne AL 35968-3067 Ph: (256) 845-0023 |
| NPI Number | 1710110945 |
|---|---|
| Provider Enumeration Date | 09/04/2009 |
| Last Update Date | 09/04/2009 |
| Medicare PECOS PAC ID | 9436204963 |
|---|---|
| Medicare Enrollment ID | O20090903000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710110945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD.21001 (Alabama) | Primary |
| Provider Name | Frederico Y Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972594505 PECOS PAC ID: 3476656760 Enrollment ID: I20070306000668 |
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