Dr. Fernando Rafael Medina Carbonell

M.D. | Pediatric Gastroenterology | Male

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Complete Profile:

Dr. Fernando Rafael Medina Carbonell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Dr. Fernando Rafael Medina Carbonell
Credential :	M.D.
Gender :	Male

Business Address:

Dr. Fernando Rafael Medina Carbonell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1465 S Grand Blvd Saint Louis, MO, 63104-1003 United States
Phone Number :	314-268-4010
Fax Number :	314-268-2775

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1467747659
NPI Entity Type :	Individual
First Enrolment Date :	15 Jun, 2011
Last Updated On :	18 Jan, 2021

Medicare Participation:

Dr. Fernando Rafael Medina Carbonell participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8426322843
Medicare Enrollment ID :	I20200610000106
Primary Specialty :	Gastroenterology
Medical School :	Other
Graduation Year :	2007
Accepts Medicare?	Yes. Dr. Fernando Rafael Medina Carbonell accepts medicare insurance.

Group Practice Association:

Dr. Fernando Rafael Medina Carbonell is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Fernando Rafael Medina Carbonell is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ssm Health Care Group	0143608372	564	1465 S Grand Blvd Saint Louis, MO - 631041003 Ph: 3145775641	Yes
Ssm Health Care Group	0143608372	564	10101 Woodfield Ln Saint Louis, MO - 631322946 Ph: 6082804647	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Fernando Rafael Medina Carbonell are as mentioned. Primary taxonomy code for Dr. Fernando Rafael Medina Carbonell, M.D. is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0206X	Pediatrics Pediatric Gastroenterology	No	29938	NE
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	2020001532	MO

Other Practice Locations:

Practice Address	City, State	Phone Number
982161 NEBRASKA MEDICAL CTR, OMAHA, NE, 68198 United States	OMAHA, NE	402-559-2412
4502 MEDICAL DR, SAN ANTONIO, TX, 78229-4402 United States	SAN ANTONIO, TX	210-358-4000
111 N 84TH ST, OMAHA, NE, 68114-4101 United States	OMAHA, NE	402-955-5700

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1465 S Grand Blvd, Dept Of Pediatrics Saint Louis, MO, 63104-1003 United States
Phone Number :	314-268-4010
Fax Number :	314-268-2775

Business Location:

Patients can refer following map for directions to Dr. Fernando Rafael Medina Carbonell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.