Dr Dolores R Fernandez, MD - Medicare Diagnostic Radiology in Champaign, IL

Dr Dolores R Fernandez, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Champaign, Illinois. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Christie Clinic, Llc and her current practice location is 101 W University Ave, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 366-1285.

Dr Dolores R Fernandez is licensed to practice in Illinois (license number 036-064412) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578570842.

Contact Information

Dr Dolores R Fernandez, MD
101 W University Ave,
Champaign, IL 61820-3981
(217) 366-1285
Not Available



Physician's Profile

Full NameDr Dolores R Fernandez
GenderFemale
SpecialityDiagnostic Radiology
Experience44 Years
Location101 W University Ave, Champaign, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dolores R Fernandez attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1980
  NPI Data:
  • NPI Number: 1578570842
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 01/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0840320222
  • Enrollment ID: I20100610001010

Medical Identifiers

Medical identifiers for Dr Dolores R Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578570842NPI-NPPES
036064412 2MedicaidIL
300024387OtherRAILROAD MEDICARE
279500OtherMEDICARE GROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 036-064412 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christie Clinic, Llc7719899319200

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Dolores R Fernandez allows following entities to bill medicare on her behalf.
Entity NameChristie Clinic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871523829
PECOS PAC ID: 7719899319
Enrollment ID: O20031103000332

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dolores R Fernandez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Dolores R Fernandez, MD
101 W University Ave,
Champaign, IL 61820-3909

Ph: (217) 366-1285
Dr Dolores R Fernandez, MD
101 W University Ave,
Champaign, IL 61820-3981

Ph: (217) 366-1285

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Radiology Doctors in Champaign, IL

Durga K Pai, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 W University Ave, Champaign, IL 61820
Phone: 217-366-1285    
Dr. Sadasiva B. Jampala, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 101 W University Ave, Champaign, IL 61820
Phone: 217-366-1285    
Dr. Steven J Damore, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 109 W University Ave, Champaign, IL 61820
Phone: 217-366-5180    Fax: 217-366-6106
Dr. Tina M Molis, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 W University Ave, Champaign, IL 61820
Phone: 217-366-1285    Fax: 217-366-6129
Andrew Gene Kim, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 W University Ave, Champaign, IL 61820
Phone: 217-366-1285    
C Ronald Donahoe, M. D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1704 Byrnebruk Dr, Champaign, IL 61822
Phone: 217-355-3812    

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