Ashlyn Archer Frederiksen, PA-C is a medicare enrolled "Physician Assistant" physician in Frisco, Texas. Her current practice location is
3550 Parkwood Blvd Ste 600, Frisco, Texas. You can reach out to her office (for appointments etc.) via phone at
(972) 377-8800.
Ashlyn Archer Frederiksen is licensed to practice in Texas (license number PA16175) 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 1992317176.
Physician's Profile
| Full Name | Ashlyn Archer Frederiksen |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 3550 Parkwood Blvd Ste 600, Frisco, Texas |
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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: 1992317176
- Provider Enumeration Date: 08/19/2020
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173993615
- Enrollment ID: I20221228001257
Medical Identifiers
Medical identifiers for Ashlyn Archer Frederiksen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992317176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | PA16175 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA16175 (Texas) | 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. Ashlyn Archer Frederiksen 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 |
|---|
Ashlyn Archer Frederiksen, PA-C
3550 Parkwood Blvd Ste 600,
Frisco, TX 75034-1915
Ph: (972) 377-8800 | Ashlyn Archer Frederiksen, PA-C
3550 Parkwood Blvd Ste 600,
Frisco, TX 75034-1915
Ph: (972) 377-8800 |
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