Jenelle Fernandez

M.D. | Pediatric Gastroenterology | Female

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Complete Profile:

Jenelle Fernandez basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Jenelle Fernandez
Credential :	M.D.
Gender :	Female

Business Address:

Jenelle Fernandez 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 :	13101 Bruce B Downs Blvd Tampa, FL, 33612-3803 United States
Phone Number :	813-974-4950

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 :	1790147874
NPI Entity Type :	Individual
First Enrolment Date :	28 Mar, 2016
Last Updated On :	10 Aug, 2022

Medicare Participation:

Jenelle Fernandez participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6305100017
Medicare Enrollment ID :	I20220720002751
Primary Specialty :	Gastroenterology
Medical School :	Other
Graduation Year :	2016
Accepts Medicare?	Yes. Jenelle Fernandez accepts medicare insurance.

Group Practice Association:

Jenelle Fernandez 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 Jenelle Fernandez is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Medical Service Association Inc	6800790221	661	4202 E Fowler Ave Tampa, FL - 336206750	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 Jenelle Fernandez are as mentioned. Primary taxonomy code for Jenelle Fernandez, M.D. is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	ME139345	FL

Legacy Identifiers:

Other legacy medical identifiers of Jenelle Fernandez such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
4HYBA	Other	FL	BLUE CROSS BLUE SHIELD
114879000	MEDICAID	FL

Other Practice Locations:

Practice Address	City, State	Phone Number
2 TAMPA GENERAL CIR, TAMPA, FL, 33606-3571 United States	TAMPA, FL	813-821-8038
60 W GORE ST, ORLANDO, FL, 32806-1141 United States	ORLANDO, FL	407-649-6876
777 HEMLOCK ST, MSC# 42 MACON, GA, 31201-2102 United States	MACON, GA	478-633-7600

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 :	Po Box 917770 Orlando, FL, 32891-0001 United States
Phone Number :	813-821-8038
Fax Number :	813-974-4325

Business Location:

Patients can refer following map for directions to Jenelle Fernandez practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.