Mr Isaac Joseph Frederick, is a
Community Health Worker based in Belmont, California. Mr Isaac Joseph Frederick is licensed to practice in * (Not Available) (license number ) and his current practice location is
310 Harbor Blvd Bldg E, Belmont, California. He can be reached at his office (for appointments etc.) via phone at
(650) 802-3351.
NPI number for Mr Isaac Joseph Frederick is 1417225244 and his current mailing address is 310 Harbor Blvd Bldg E, Belmont, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417225244.
Healthcare Provider's Profile
| Full Name | Mr Isaac Joseph Frederick |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 310 Harbor Blvd Bldg E, Belmont, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1417225244
- Provider Enumeration Date: 12/07/2011
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Mr Isaac Joseph Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417225244 | NPI | - | NPPES |
| 1411033663 | Other | CA | EMPLOYER ID NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | OH35778 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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. Mr Isaac Joseph 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 |
|---|
Mr Isaac Joseph Frederick,
310 Harbor Blvd Bldg E,
Belmont, CA 94002-4018
Ph: (650) 802-3351 | Mr Isaac Joseph Frederick,
310 Harbor Blvd Bldg E,
Belmont, CA 94002-4018
Ph: (650) 802-3351 |
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