Ms Paulette Fredericks, MSW, LCSW is a medicare enrolled "Community/behavioral Health" provider in Mt. Laurel, New Jersey. Her current practice location is
20000 Horizon Way, Suite 500, Mt. Laurel, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 269-0019.
Ms Paulette Fredericks is licensed to practice in New Jersey (license number ) 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 1629103551.
Healthcare Provider's Profile
| Full Name | Ms Paulette Fredericks |
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| Gender | Female |
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| Speciality | Community/behavioral Health |
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| Location | 20000 Horizon Way, Suite 500, Mt. Laurel, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629103551
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 11/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 5496199143
- Enrollment ID: I20240221001621
Medical Identifiers
Medical identifiers for Ms Paulette Fredericks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629103551 | NPI | - | NPPES |
| 0053643 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 44SC05226600 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC055226600 (New Jersey) | Secondary |
| 251S00000X | Community/behavioral Health | 44SC05226600 (New Jersey) | Secondary |
| 101Y00000X | Counselor | 44SC05226600 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (New Jersey) | 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. Ms Paulette Fredericks allows following entities to bill medicare on her behalf.
| Entity Name | Caring Counselors Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770360356
PECOS PAC ID: 4587008230
Enrollment ID: O20240221001450 |
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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. Ms Paulette Fredericks 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 |
|---|
Ms Paulette Fredericks, MSW, LCSW
525 Rt 73 North, Suite 104,
Marlton, NJ 08053-1648
Ph: (856) 269-0019 | Ms Paulette Fredericks, MSW, LCSW
20000 Horizon Way, Suite 500,
Mt. Laurel, NJ 08054
Ph: (856) 269-0019 |
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