David Jonathan Frederiks, MD | |
365 Montauk Ave, Room 4.512, New London, CT 06320-4700 | |
(860) 442-0711 | |
(860) 444-5144 |
Full Name | David Jonathan Frederiks |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 365 Montauk Ave, New London, Connecticut |
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 |
---|---|---|---|
1225048168 | NPI | - | NPPES |
001368118 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 036811 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence & Memorial Hospital | New london, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Medicine Associates Llc | 9234156985 | 176 |
Entity Name | Lawrence And Memorial Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073530879 PECOS PAC ID: 5991792053 Enrollment ID: O20040429001142 |
Entity Name | Partners In Primary Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952586000 PECOS PAC ID: 5698834315 Enrollment ID: O20081110000265 |
Entity Name | Ipc Hospitalists Of New England Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821401761 PECOS PAC ID: 7618051442 Enrollment ID: O20091221000423 |
Entity Name | Hospital Medicine Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20170802002619 |
Mailing Address | Practice Location Address |
---|---|
David Jonathan Frederiks, MD 365 Montauk Ave, Room 4.512, New London, CT 06320-4700 Ph: (860) 442-0711 | David Jonathan Frederiks, MD 365 Montauk Ave, Room 4.512, New London, CT 06320-4700 Ph: (860) 442-0711 |
Lauren Marcus Doherty, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, Room 4.512, New London, CT 06320 Phone: 860-442-0711 Fax: 860-444-5114 |