Dr Jason Michael Fredericks, DC | |
8200 Humboldt Ave S Ste 204, Bloomington, MN 55431-1432 | |
(952) 884-6144 | |
(952) 884-9180 |
Full Name | Dr Jason Michael Fredericks |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 26 Years |
Location | 8200 Humboldt Ave S Ste 204, Bloomington, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669689295 | NPI | - | NPPES |
5328276-00 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 3651 (Minnesota) | Primary |
Provider Name | Institute For Chiropractic Rehabilitation Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922242627 PECOS PAC ID: 5799951349 Enrollment ID: O20120103000088 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Michael Fredericks, DC 8200 Humboldt Ave S, Ste 204, Bloomington, MN 55431-1432 Ph: (612) 386-0333 | Dr Jason Michael Fredericks, DC 8200 Humboldt Ave S Ste 204, Bloomington, MN 55431-1432 Ph: (952) 884-6144 |
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