Mr Timothy Fredrickson, LCPC in Rockford, IL - Medicare Counselor Provider

Mr Timothy Fredrickson, LCPC is a medicare enrolled "Counselor - Professional" provider in Rockford, Illinois. His current practice location is 1639 N Alpine Rd Ste 403, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 229-7102.

Mr Timothy Fredrickson is licensed to practice in Illinois (license number 180-001837) 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 1922073642.

Contact Information

	Mr Timothy Fredrickson, LCPC
	1639 N Alpine Rd Ste 403, Rockford, IL 61107-1440
	(815) 229-7102
	(815) 229-7108

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Timothy Fredrickson
Gender	Male
Speciality	Counselor - Professional
Location	1639 N Alpine Rd Ste 403, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922073642
Provider Enumeration Date: 02/17/2006
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3678911179
Enrollment ID: I20240403001488

Medical Identifiers

Medical identifiers for Mr Timothy Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922073642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180-001837 (Illinois)	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. Mr Timothy Fredrickson allows following entities to bill medicare on his behalf.

Entity Name	Fredrickson Counseling P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700650793 PECOS PAC ID: 2860830361 Enrollment ID: O20240403001420

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 Timothy Fredrickson 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
Mr Timothy Fredrickson, LCPC 1639 N Alpine Rd Ste 403, Rockford, IL 61107-1440 Ph: (815) 229-7102	Mr Timothy Fredrickson, LCPC 1639 N Alpine Rd Ste 403, Rockford, IL 61107-1440 Ph: (815) 229-7102

Reviews and Comments

Counselor in Rockford, IL

Stephanie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6072 Brynwood Dr Ste 107, Rockford, IL 61114 Phone: 815-846-0684
Logan John Chapman-neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000
Charlene J Donahoe, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4869 Linden Rd Apt 221, Rockford, IL 61109 Phone: 815-980-8621
Holly Brun, Counselor Medicare: Medicare Enrolled Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 815-332-8003
Jeremy Adon Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000
Angie Tompkins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6066 Strathmoor Dr Ste 2, Rockford, IL 61107 Phone: 815-324-3979
Ms. Eileen H Mccarten, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 E State St Ste 316, Rockford, IL 61108 Phone: 815-877-7228 Fax: 815-877-8172

Mr Timothy Fredrickson, LCPC - Medicare Counselor in Rockford, IL