Mrs Brooke Leigh Fredrickson, LRD, CSG - Medicare Dietitian in Cooperstown, ND

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Mrs Brooke Leigh Fredrickson, LRD, CSG is a medicare enrolled "Dietitian, Registered" provider in Cooperstown, North Dakota. Her current practice location is 1200 Roberts Ave Ne, Cooperstown, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 797-2221.

Mrs Brooke Leigh Fredrickson is licensed to practice in North Dakota (license number 669) 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 1053645317.

Contact Information

Mrs Brooke Leigh Fredrickson, LRD, CSG
1200 Roberts Ave Ne,
Cooperstown, ND 58425-7101
(701) 797-2221
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Brooke Leigh Fredrickson
GenderFemale
SpecialityDietitian, Registered
Location1200 Roberts Ave Ne, Cooperstown, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053645317
  • Provider Enumeration Date: 09/18/2009
  • Last Update Date: 09/18/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3476905118
  • Enrollment ID: I20240118002852

Medical Identifiers

Medical identifiers for Mrs Brooke Leigh Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053645317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 669 (North Dakota)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. Mrs Brooke Leigh Fredrickson allows following entities to bill medicare on her behalf.
Provider NameCarrington Health Center
Provider TypePart A Provider - Critical Access Hospital
Provider IdentifiersNPI Number: 1205807013
PECOS PAC ID: 0547177552
Enrollment ID: O20020822000021
Provider NameCarrington Health Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1558389338
PECOS PAC ID: 0547177552
Enrollment ID: O20040810000314

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. Mrs Brooke Leigh 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 AddressPractice Location Address
Mrs Brooke Leigh Fredrickson, LRD, CSG
80 County Road 19,
Cooperstown, ND 58425-9168

Ph: (701) 361-7154		Mrs Brooke Leigh Fredrickson, LRD, CSG
1200 Roberts Ave Ne,
Cooperstown, ND 58425-7101

Ph: (701) 797-2221

Reviews and Comments


Dietitian, Registered in Cooperstown, ND


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.