Curtis Frederick, MD in Johnson City, NY

Curtis Frederick, MD is a medicare enrolled "Surgery" physician in Johnson City, New York. His current practice location is 30 Harrison St Ste 455, Johnson City, New York. You can reach out to his office (for appointments etc.) via phone at (607) 763-8100.

Curtis Frederick is licensed to practice in New York (license number 332260) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104320498.

Contact Information

	Curtis Frederick, MD
	30 Harrison St Ste 455, Johnson City, NY 13790-2176
	(607) 763-8100
	Not Available

Map and Direction

Physician's Profile

Full Name	Curtis Frederick
Gender	Male
Speciality	Surgery
Location	30 Harrison St Ste 455, Johnson City, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104320498
Provider Enumeration Date: 03/21/2018
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7416319165
Enrollment ID: I20230814000899

Medical Identifiers

Medical identifiers for Curtis Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104320498	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	332260 (New York)	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. Curtis Frederick allows following entities to bill medicare on his behalf.

Entity Name	Luminis Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146

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. Curtis Frederick 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
Curtis Frederick, MD 33 Lewis Rd, Fl 2, Binghamton, NY 13905 Ph: (607) 770-0025	Curtis Frederick, MD 30 Harrison St Ste 455, Johnson City, NY 13790-2176 Ph: (607) 763-8100

Reviews and Comments

Surgery Doctors in Johnson City, NY

J Richard Cunningham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 30 Harrison St, Suite 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048
Ghassem Mangouri, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-0706
Mark Brennan, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison St, Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048
Jeffrey Scott Wiseman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 Harrison St Ste 455, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048
Dariush Vaziri, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 355 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-0706
Michael Aronis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Harrison Street, Suite 400, Johnson City, NY 13790 Phone: 607-763-8100 Fax: 607-763-8048

Curtis Frederick, MD - Medicare Surgery in Johnson City, NY