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Fernando S. Estrella

Internal Medicine

Allopathic & Osteopathic Physicians

4321 Carothers Pkwy, Franklin, TN 37067-5909

PECOS Enrollment

This provider is enrolled in PECOS as FERNANDO ESTRELLA.

Based on the most recent information from CMS, provider Fernando S. Estrella is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1730126574
Provider Type
Individual
Full Name
Estrella, Fernando S.
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/1/2006
Last Updated
6/22/2010

Contact Information

Practice Location

4321 Carothers Pkwy, Franklin, TN 37067-5909

(615) 435-6690

(615) 435-7320

Mailing Location

4321 Carothers Parkway, Franklin, TN 37067

(615) 435-6690

(615) 435-7320

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 43817 Tennessee

Provider Identifiers

ID	Description	Issuer
ID 197245	Description Other	Issuer ANTHEM Virginia
ID C04388	Description Other	Issuer MEDICARE GROUP #
ID 010322812	Description Medicaid	Issuer Unlisted Virginia

Fernando S. Estrella

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Sherman, Devin

Verma, Prakash

See, Sarah H.

Primary Care Clinic Llc

Tan, Jean Lim

Pritchett, Nancy (Erin) Gaw

Barr, Michael Stuart

Erin Gaw Pritchett M.D., L.L.C.

Lieberman, Scott H

Bullock, Sally