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Rosane Jane Fernandez

Internal Medicine

Allopathic & Osteopathic Physicians

(425) 261-2000 (866) 474-2455

PECOS Enrollment

This provider is enrolled in PECOS as ROSANE FERNANDEZ.

Based on the most recent information from CMS, provider Rosane Jane Fernandez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821351339
Provider Type
Individual
Full Name
Fernandez, Rosane Jane
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/19/2012
Last Updated
3/29/2021

Contact Information

Practice Location

1321 Colby Ave, Everett, WA 98201-1665

(425) 261-2000

Unlisted Fax

Mailing Location

PO Box 3360, Portland, OR 97208-3360

(866) 474-2455

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD60637681 Washington
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License MD60637681 Washington

Rosane Jane Fernandez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Cramer, John F

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Chiou, Lisa A

De Lisle, Jordan M

Kodlipet Jagadeesh, Kavyashri

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Vannortwick, Amy

Rieck, Chad Aaron