Charles Fredericks, MD | |
2315 Stockton Blvd, Sacramento, CA 95817-2201 | |
(916) 734-5638 | |
Not Available |
Full Name | Charles Fredericks |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 11 Years |
Location | 2315 Stockton Blvd, Sacramento, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952747628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125-063161 (Illinois) | Secondary |
208600000X | Surgery | A161492 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
San Joaquin General Hospital | French camp, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
San Joaquin Faculty Medical Group | 4082631395 | 93 |
Entity Name | Regents Of The Univ Of Ca |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Entity Name | County Of San Joaquin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
Entity Name | San Joaquin Faculty Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
Mailing Address | Practice Location Address |
---|---|
Charles Fredericks, MD 531 Grape St, Hammonton, NJ 08037-1654 Ph: () - | Charles Fredericks, MD 2315 Stockton Blvd, Sacramento, CA 95817-2201 Ph: (916) 734-5638 |
Dr. Vijay P Khatri, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4501 X St, Uc Davis Cancer Center, Suite 3010, Sacramento, CA 95817 Phone: 916-734-2172 Fax: 916-731-5706 | |
Dr. Rebecca Anne Stark, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2521 Stockton Blvd, Ucdmc Glassrock Peds. Surgery - Suite 3200, Sacramento, CA 95817 Phone: 916-734-3229 | |
Dr. Garth Utter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd. - Department Of Surgery, Naob 5th Floor - Trauma, Sacramento, CA 95817 Phone: 916-734-1768 Fax: 916-734-7821 | |
Rachael A Callcut, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd, Naob, Suite 5006, Sacramento, CA 95817 Phone: 650-723-0173 | |
Dr. Diana L. Farmer, MD Surgery Medicare: Medicare Enrolled Practice Location: 2221 Stockton Blvd., Cypress #3112, Sacramento, CA 95817 Phone: 916-734-3190 Fax: 916-734-5119 | |
Dr. Matthew Malcolm Pier, MD Surgery Medicare: Medicare Enrolled Practice Location: 4150 V Street, Pssb 1200, Sacramento, CA 95817 Phone: 916-734-5026 | |
Sarah Childs, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4150 V Street Pssb, Suite 1200, Sacramento, CA 95817 Phone: 916-734-5028 |