Connie Fredrick, LCSW in Humble, TX - Medicare Social Worker Provider

Connie Fredrick, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Humble, Texas. Her current practice location is 8000 N Sam Houston Pkwy E, Humble, Texas. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Connie Fredrick is licensed to practice in Texas (license number 65297) 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 1366106791.

Contact Information

	Connie Fredrick, LCSW
	8000 N Sam Houston Pkwy E, Humble, TX 77396-2900
	(866) 389-2727
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Connie Fredrick
Gender	Female
Speciality	Social Worker - Clinical
Location	8000 N Sam Houston Pkwy E, Humble, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366106791
Provider Enumeration Date: 10/22/2021
Last Update Date: 05/27/2022

Medicare PECOS Information:

PECOS PAC ID: 4688054620
Enrollment ID: I20220707002759

Medical Identifiers

Medical identifiers for Connie Fredrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366106791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	65297 (Texas)	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. Connie Fredrick allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Texas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609076330 PECOS PAC ID: 7416039177 Enrollment ID: O20080204000113

Entity Name	Minuteclinic Telehealth Services Of Texas Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922564301 PECOS PAC ID: 8921437427 Enrollment ID: O20200404000028

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. Connie 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
Connie Fredrick, LCSW 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 Ph: () -	Connie Fredrick, LCSW 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900 Ph: (866) 389-2727

Reviews and Comments

Social Worker in Humble, TX

Zakiya Fortune, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20730 Fox Hound Ln, Humble, TX 77338 Phone: 346-329-3417
Sabina Chudleigh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9813 Memorial Blvd, Ste A, Humble, TX 77338 Phone: 281-913-3550 Fax: 281-319-6072
Amy G Lamarca Lyon, MSW, LCSW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12322 Grand Arches Ln, Humble, TX 77346 Phone: 713-213-7517
Tierney Sinead Lancaster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1016 N Houston Ave Ste A, Humble, TX 77338 Phone: 713-268-6734 Fax: 281-540-1810
Mr. Robert Birdow Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12227 Grand Portage Ln, Humble, TX 77346 Phone: 713-410-2406 Fax: 281-812-9806
Satmah Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9226 Cattail Gate Ct, Humble, TX 77396 Phone: 832-387-3283
Rachael Taylor, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6127 Kings Oaks Ln, Humble, TX 77346 Phone: 219-628-1377

Connie Fredrick, LCSW - Medicare Clinical Social Worker in Humble, TX