Carlos Alberto Fernandez (NPI# 1407921596, PAC ID# 5496755860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1407921596 |
| PAC ID by PECOS | 5496755860 |
| Professional Enrollment ID | I20070109000212 |
| Full Name | Carlos Alberto Fernandez |
| Organization Legal Name | GEISINGER CLINIC |
| Address |
1100 Spruce St Suite 100 Kulpmont PA 17834-1239 |
| Phone Number | 5703732100 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE |
| Group Practice PAC ID | 5395657001 |
| Number of Group Practice Members | 2590 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390006 | GEISINGER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1100 Spruce St, Suite 100, Kulpmont, PA 17834-1239 | 5703732100 | GEISINGER CLINIC |
| Organization Legal Name | GEISINGER CLINIC |
| Physicians | 2646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Marie Elizabeth Trauger | Physical Therapy | Geisinger Clinic | 3 W Olive St, Scranton, PA 18508-2572 |
| Cassondra Andreychik Ellison | Dermatology | Geisinger Clinic | 16 Woodbine Lane, Geisinger Optometry, Danville, PA 17822-5240 |
| Catherine Patrick | Family Medicine | Geisinger Clinic | 1140 Quincy Ave, Dunmore, PA 18510-1150 |
| Rebecca Anne Phillips | Physician Assistant | Geisinger Clinic | 14229 Route 35, Richfield, PA 17086-8711 |
| Tiffany A Becker | Family Medicine | Geisinger Clinic | 560 Pierce St, Kingston, PA 18704-5716 |
| Boris Gilyadov | Family Medicine | Geisinger Clinic | 126 Market Way, Mt Pocono, PA 18344-1039 |
| Jui Pandya | Ophthalmology | Geisinger Clinic | 10 Trieble Dr, Tunkhannock, PA 18657-7054 |
| James Eric Kasenchak | Ophthalmology | Geisinger Clinic | 800 W 4th St, Suite 104, Williamsport, PA 17701-5895 |
| Cassandra Phillips | Pediatric Medicine | Geisinger Clinic | 529 Terry Reiley Way, Pottsville, PA 17901-1774 |
| Corrine Ann Joy | Nurse Practitioner | Geisinger Clinic | 1201 Keystone Blvd, Pottsville, PA 17901-8982 |
| Street Address |
1100 SPRUCE ST SUITE 100 |
| City | KULPMONT |
| State | PA |
| Zip | 17834-1239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ayokunle Omotade Fatade | Family Medicine | 1100 Spruce St, Martinsville, VA 24112-4509 | |
| Francis J Braconaro | Internal Medicine | Geisinger Clinic | 1100 Spruce St, Suite 100, Kulpmont, PA 17834-1239 |
| Jane S Walter | Nurse Practitioner | Geisinger Clinic | 1100 Spruce St, Suite 100, Kulpmont, PA 17834-1239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Kraynak | Family Medicine | 111 Chestnut St, Kulpmont, PA 17834-1403 | |
| Courtney E Pinkham | Internal Medicine | Geisinger Clinic | 119 Nevada Dr, Kulpmont, PA 17834-1960 |
| Houssam Abdul-al | Internal Medicine | Geisinger Clinic | 119 Nevada Dr, Kulpmont, PA 17834-1960 |
| Bruce Mark Romanic | Family Practice | Geisinger Clinic | 119 Nevada Dr, Kulpmont, PA 17834-1960 |
| Anthony J Jones | Physician Assistant | Geisinger Clinic | 119 Nevada Dr, Kulpmont, PA 17834-1960 |
| City | KULPMONT |
| Zip Code | 17834 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KULPMONT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Carlos Alberto Fernandez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.