ALICIA-MARIA FERNANDEZ D.O.
NPI 1407043458
Internal Medicine in Friendship, WI

Q: What is Alicia-maria Fernandez's NPI number?

The NPI number for Alicia-maria Fernandez is 1407043458. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Q: What is Alicia-maria Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 03, 2007PECOS EnrolledAccepts Medicare Assignment

402 W LAKE ST, FRIENDSHIP, WI 53934(608) 339-3331 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 29, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Alicia-maria Fernandez D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA-MARIA FERNANDEZ D.O. (NPI 1407043458) is an individual internal medicine provider in Friendship, Wisconsin, licensed in Wisconsin (50947) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Mile Bluff Medical Center, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1407043458

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameALICIA-MARIA FERNANDEZCredential: D.O.

Location Address402 W LAKE STFriendship, WI 53934-9699

Mailing Address402 W Lake StFriendship, WI 53934-9699 · (608) 339-3331

Phone(608) 339-3331

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 3, 2007

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1407043458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 50947

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 50947 (WI)

402 W LAKE ST, Friendship, WI 53934

Open in Google Maps ↗

Secondary Practice Location 1

Location 12555 N Martin Luther King DrMilwaukee, WI 53212-2709 · Phone (414) 267-4040 · Fax (414) 372-0793

Other Identifiers 2

OtherK400386662WI · Medicare Pin

Medicaid43545200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia-maria Fernandez D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163518242

PECOS Enrollment IDI20140909002560

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI

OwnershipProprietary

CMS Certification Number520109

Location1050 Division StMauston, WI 53948 · Juneau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53934 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT E DOCHERTY RN

Nurse Practitioner (Family)