FERNANDO A HERRERA MD NPI 1013164243

Surgery (Plastic and Reconstructive Surgery) in Charleston, SC

NPI 1013164243 Individual Male Years of Experience 19 Surgery Plastic and Reconstructive Surgery PECOS Enrolled Accepts Medicare Approved Payment

About FERNANDO HERRERA

Fernando Herrera is a provider established in Charleston, South Carolina and his medical specialization is surgery (plastic and reconstructive surgery) with more than 19 years of experience. He graduated from Boston University School Of Medicine in 2003. The NPI number of Fernando Herrera is 1013164243 and was assigned on August 2008. The practitioner's primary taxonomy code is 2086S0122X with license number 35150 (SC). The provider is registered as an individual and his NPI record was last updated one year ago.

Fernando Herrera is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Fernando Herrera is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Musc Medical Center.

NPI

1013164243

Provider Name FERNANDO A HERRERA MD
Provider Location Address171 ASHLEY AVE CHARLESTON, SC 29425
Provider Mailing AddressPO BOX 751461 CHARLOTTE, NC 28275
GenderMale
NPI Entity TypeIndividual
Medical School NameBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-19-2008
Last Update Date10-14-2020


Primary Taxonomy

Taxonomy Code2086S0122X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
SpecializationPlastic and Reconstructive Surgery
License No.35150
License StateSC
Taxonomy DescriptionA surgeon who specializes in plastic and reconstructive surgery.

Business Address

FERNANDO A HERRERA MD
171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-1414

Get Directions


Mailing Address

FERNANDO A HERRERA MD
PO BOX 751461
CHARLOTTE, NC
ZIP 28275
Phone: (843) 792-6200



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1557380375
PECOS Enrollment IDI20120921000704
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Fernando Herrera is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MUSC MEDICAL CENTER169 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-2300Acute Care Hospitals420004

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryA92667CANo

Taxonomy Description: an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00A926670MEDICAID (05)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467441139 ANNEMARIE J FIELDS M.D.
Individual
Internal Medicine171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1811987407MRS. VICKI E ALLEN PA C
Individual
Physician Assistant171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1932183373DR. CHRISTINA L BOURNE MD
Individual
Emergency Medicine171 ASHLEY AVE EMERGENCY MEDICINE
CHARLESTON, SC 29425
(843) 792-1414
1831174861 MUNAZZA ANIS MD
Individual
Radiology (Diagnostic Radiology)171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1902883580 ROY B SESSIONS MD
Individual
Otolaryngology171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1033198353 STEVEN STEUER GLAZIER MD
Individual
Neurological Surgery171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1427020726DR. WALTER S BARTYNSKI MD
Individual
Radiology (Neuroradiology)171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1508839051DR. STACY MARIE PRUTTING BS,PHARMD, BCPS, CDE
Individual
Pharmacist (Pharmacotherapy)171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-2300
1255305876MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Organization
Nurse Anesthetist, Certified Registered171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1780658641DR. CHERYL P LYNCH MD
Individual
Internal Medicine171 ASHLEY AVE
CHARLESTON, SC 29425
(412) 876-1344
1992779128 MINOO N KAVARANA M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1417922865DR. GERARD A SILVESTRI MD
Individual
Internal Medicine (Pulmonary Disease)171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1518936574 RITA MARIE RYAN MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1124097753 LINDA A. THOMAS L.I.S.W.
Individual
Social Worker (Clinical)171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1265492284MS. SUSAN C CRAVEN CRNA
Individual
Nurse Anesthetist, Certified Registered171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1598726465 R. BHANU VIKRAMAN PILLAI M.D
Individual
Pediatrics (Pediatric Gastroenterology)171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-7653
1336102581 ANGELA MARIE SAVATIEL MD
Individual
Obstetrics & Gynecology171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1356305494MS. JENNIFER LEE PELTIER ATC
Individual
Specialist/Technologist (Athletic Trainer)171 ASHLEY AVE MSC 622
CHARLESTON, SC 29425
(843) 792-8147
1366409161DR. STEPHEN AUSTIN FANN M.D.
Individual
Surgery (Surgical Critical Care)171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414
1275591299DR. MARIA F EGIDI MD
Individual
Internal Medicine (Nephrology)171 ASHLEY AVE
CHARLESTON, SC 29425
(843) 792-1414

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.