Abby Nicole Frederickson, DO | |
8701 Watertown Plank Rd, Milwaukee, WI 53226-3548 | |
(414) 955-6777 | |
(414) 955-0069 |
Full Name | Abby Nicole Frederickson |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 8701 Watertown Plank Rd, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710483219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 9583 (Arizona) | Primary |
208000000X | Pediatrics | 9583 (Arizona) | Secondary |
Entity Name | Banner - University Hospital Based Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
Mailing Address | Practice Location Address |
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Abby Nicole Frederickson, DO 8701 Watertown Plank Rd, Milwaukee, WI 53226-3548 Ph: (414) 955-6777 | Abby Nicole Frederickson, DO 8701 Watertown Plank Rd, Milwaukee, WI 53226-3548 Ph: (414) 955-6777 |
Julia Bonner, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3351 North Downer Avenue, Milwaukee, WI 53211 Phone: 414-229-5684 | |
Dr. Zachary Smith, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-6830 Fax: 414-955-6214 | |
Dr. Christopher Patrick Boyd, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6000 Fax: 414-805-6280 | |
Umair Bajwa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-0812 Fax: 414-805-0855 | |
Rasika Surajyam Chepuri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-955-7040 Fax: 414-955-6211 | |
Soryal A Soryal, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233 Phone: 414-219-7300 | |
Aboud Affi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1218 W Kilbourn Ave, Suite 404, Milwaukee, WI 53233 Phone: 414-291-3100 |