Michael James Fredrick, DC is a medicare enrolled "Chiropractor" provider in Ceredo, West Virginia. His current practice location is
890 B Street, Ceredo, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 453-6194.
Michael James Fredrick is licensed to practice in West Virginia (license number 189) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821109299.
Healthcare Provider's Profile
Full Name | Michael James Fredrick |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 890 B Street, Ceredo, West Virginia |
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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: 1821109299
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0547421935
- Enrollment ID: I20120411000575
Medical Identifiers
Medical identifiers for Michael James Fredrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821109299 | NPI | - | NPPES |
0131857000 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 189 (West Virginia) | Primary |
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. Michael James Fredrick 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 |
Michael James Fredrick, DC Po Box 713, 890 B Street, Ceredo, WV 25507 Ph: (304) 453-6194 | Michael James Fredrick, DC 890 B Street, Ceredo, WV 25507 Ph: (304) 453-6194 |
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