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Primary Practice Address
3163 GAMMON LN STE 422
CLEMMONS, NC 27012-9052 US
Accepts Medicare Payment

PECOS Enrolled

Otniel Hernandez

Nurse Practitioner


Otniel Hernandez

Overview

Otniel Hernandez is a Nurse Practitioner in the CLEMMONS area and has over 14 years of experience. Otniel Hernandez primary office location is at 3163 GAMMON LN STE 422 and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Wisconsin School Of Medicine and graduated 2007 The NPI number is 1003000720 and the information was updated approximately 1 year ago.

Otniel Hernandez is affiliated with one medical group in the CLEMMONS area, CAROLINA MEDICORP ENTERPRISES, INC..

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
3163 GAMMON LN STE 422
CLEMMONS, NC 27012-9052 US
Phone: (336)-310-5571
Fax:
Practice Mailing Information
PO BOX 601843
CHARLOTTE, NC 27012-9052 US
Phone:
Fax:
License NumberState
5012043NC
ARNP3081082FL
Type/IssuerIdentifierState
308614300FL

Quality Reporting:

Accepts Medicare Assignment: Yes

If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount.

Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No
Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No
Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No
Committed to heart health through the Million Hearts´┐Ż initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20191113000196
PECOS Individual PAC ID:3870683139
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes