Patrick S Fernandes (NPI# 1033172655, PAC ID# 5890701866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1033172655 |
| PAC ID by PECOS | 5890701866 |
| Professional Enrollment ID | I20071227000485 |
| Full Name | Patrick S Fernandes |
| Organization Legal Name | COMMUNITY CANCER CENTER LLC |
| Address |
407 E Vernon Ave Normal IL 61761-3813 |
| Phone Number | 3094518500 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 6608789284 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140162 | ST JOSEPH MEDICAL CENTER |
| 140161 | SAINT JAMES HOSPITAL |
| 140127 | ADVOCATE BROMENN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 407 E Vernon Ave, Normal, IL 61761-3813 | 3094518500 | COMMUNITY CANCER CENTER LLC |
| Organization Legal Name | COMMUNITY CANCER CENTER LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shermian A Woodhouse | Radiation Oncology | Community Cancer Center LLC | 407 E Vernon Ave, Normal, IL 61761-3813 |
| Street Address |
407 E VERNON AVE |
| City | NORMAL |
| State | IL |
| Zip | 61761-3813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hwan G Jeong | Hematology/oncology | Mid-illinois Hematology Oncology Associates Ltd | 407 E Vernon Ave, Suite 104, Normal, IL 61761-3813 |
| Shermian A Woodhouse | Radiation Oncology | Community Cancer Center LLC | 407 E Vernon Ave, Normal, IL 61761-3813 |
| Pamela D Madden | Nurse Practitioner | Mid-illinois Hematology Oncology Associates Ltd | 407 E Vernon Ave, Suite 104, Normal, IL 61761-3813 |
| John J Migas | Hematology/oncology | Mid-illinois Hematology Oncology Associates Ltd | 407 E Vernon Ave, Suite 104, Normal, IL 61761-3813 |
| Marcia R Odonnell | Clinical Social Worker | 407 E Vernon Ave, Suite 104, Normal, IL 61761-3813 | |
| Lyndi Colleen Alberts | Nurse Practitioner | Mid-illinois Hematology Oncology Associates Ltd | 407 E Vernon Ave, Suite 104, Normal, IL 61761-3813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrie J Seip | Clinical Social Worker | 2000 N Linden, J102, Normal, IL 61761 | |
| Emily Hallstein | Speech Language Pathologist | Illinois State University | 275 S University, Normal, IL 61761 |
| Alison Leigh Sherren | Audiologist | Illinois State University | 275 S University, Normal, IL 61761 |
| Julie L Burns | Speech Language Pathologist | Illinois State University | 275 S University, Normal, IL 61761 |
| Jacqueline R Mcclure | Qualified Speech Language Pathologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Kimberly L Adelman | Qualified Speech Language Pathologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Candice Jo Maddox Osenga | Qualified Audiologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Megan M Hemmer | Qualified Audiologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Jaime Ellsworth | Qualified Speech Language Pathologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Patricia L Larkin | Qualified Speech Language Pathologist | Illinois State University | 275 S University, 211 Rachel Cooper Bldg, Normal, IL 61761-0001 |
| Find all physicians in zip 61761 | |||
| City | NORMAL |
| Zip Code | 61761 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | NORMAL + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Patrick S Fernandes.
| 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.