Kasandra Leeann Frederick, ACSW, PPSC is a
Student In An Organized Health Care Education/training Program based in Tulare, California. Kasandra Leeann Frederick is licensed to practice in California (license number ) and her current practice location is
197 Johnson St, Tulare, California. She can be reached at her office (for appointments etc.) via phone at
(559) 786-6860.
NPI number for Kasandra Leeann Frederick is 1619650199 and her current mailing address is 197 Johnson St, Tulare, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619650199.
Healthcare Provider's Profile
| Full Name | Kasandra Leeann Frederick |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 197 Johnson St, Tulare, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619650199
- Provider Enumeration Date: 08/10/2023
- Last Update Date: 12/07/2023
Medical Identifiers
Medical identifiers for Kasandra Leeann Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619650199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 110057 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | 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. Kasandra Leeann Frederick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kasandra Leeann Frederick, ACSW, PPSC
197 Johnson St,
Tulare, CA 93274-4657
Ph: (559) 786-6860 | Kasandra Leeann Frederick, ACSW, PPSC
197 Johnson St,
Tulare, CA 93274-4657
Ph: (559) 786-6860 |
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