Samantha Frederick, is a medicare enrolled "Audiologist" provider in Gastonia, North Carolina. Her current practice location is
2520 Aberdeen Blvd, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 868-8400.
Samantha Frederick is licensed to practice in North Carolina (license number 30000898) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790416998.
Healthcare Provider's Profile
Full Name | Samantha Frederick |
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Gender | Female |
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Speciality | Audiologist |
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Location | 2520 Aberdeen Blvd, Gastonia, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790416998
- Provider Enumeration Date: 06/20/2022
- Last Update Date: 12/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042691578
- Enrollment ID: I20220714003956
Medical Identifiers
Medical identifiers for Samantha Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790416998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 30000898 (North Carolina) | Primary |
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. Samantha Frederick allows following entities to bill medicare on her behalf.
Provider Name | Ent Carolina Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1699760702 PECOS PAC ID: 1456363407 Enrollment ID: O20060613000050 |
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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. Samantha Frederick 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 Address | Practice Location Address |
Samantha Frederick, 1005 Orchard Groves Ct Apt 202, Belmont, NC 28012-4089 Ph: () - | Samantha Frederick, 2520 Aberdeen Blvd, Gastonia, NC 28054-0635 Ph: (704) 868-8400 |
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