David Clark Fredenburg, MD is a medicare enrolled "Pediatrics" physician in Hudson, New Hampshire. His current practice location is
49 Derry Rd, Hudson, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 889-4422.
David Clark Fredenburg is licensed to practice in New Hampshire (license number 8751) 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 1396717658.
Physician's Profile
Full Name | David Clark Fredenburg |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 49 Derry Rd, Hudson, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396717658
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4284922758
- Enrollment ID: I20240430000121
Medical Identifiers
Medical identifiers for David Clark Fredenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396717658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 8751 (New Hampshire) | 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. David Clark Fredenburg allows following entities to bill medicare on his behalf.
Entity Name | Baby Doc Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174004774 PECOS PAC ID: 7719397587 Enrollment ID: O20201105001954 |
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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. David Clark Fredenburg 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 |
David Clark Fredenburg, MD 49 Derry Rd, Hudson, NH 03051-4027 Ph: (603) 889-4422 | David Clark Fredenburg, MD 49 Derry Rd, Hudson, NH 03051-4027 Ph: (603) 889-4422 |
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