1200 W STATE ST
ROCKFORD, IL 61102 US PECOS Enrolled
Overview
Gary Patrick Fernando is a Pediatrician in the ROCKFORD area. Gary Patrick Fernando primary office location is at 1200 W STATE ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1013188408 and the information was updated approximately 8 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 036128459 | IL |
| 257716 | NY |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Pediatrician - Taxonomy Code 208000000X | IL | Y |
| Pediatrician - Taxonomy Code 208000000X | NY | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| 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 |
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