Dr Brian Shane Frederick, MD in Spartanburg, SC

Dr Brian Shane Frederick, MD is a medicare enrolled "Emergency Medicine" physician in Spartanburg, South Carolina. His current practice location is 101 E Wood St, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 560-7025.

Dr Brian Shane Frederick is licensed to practice in Kentucky (license number R0699) 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 1699860015.

Contact Information

	Dr Brian Shane Frederick, MD
	101 E Wood St, Spartanburg, SC 29303-3040
	(864) 560-7025
	(864) 560-7388

Map and Direction

Physician's Profile

Full Name	Dr Brian Shane Frederick
Gender	Male
Speciality	Emergency Medicine
Location	101 E Wood St, Spartanburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699860015
Provider Enumeration Date: 10/03/2006
Last Update Date: 01/04/2021

Medicare PECOS Information:

PECOS PAC ID: 8022024488
Enrollment ID: I20080912000163

Medical Identifiers

Medical identifiers for Dr Brian Shane Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699860015	NPI	-	NPPES
P00879458	Other	SC	RAILROAD MEDICARE
5910691	Medicaid	NC
238157	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	R0699 (Kentucky)	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. Dr Brian Shane Frederick allows following entities to bill medicare on his behalf.

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686

Entity Name	Pelham Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619133568 PECOS PAC ID: 2365519097 Enrollment ID: O20080923000329

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. Dr Brian Shane 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
Dr Brian Shane Frederick, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304	Dr Brian Shane Frederick, MD 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-7025

Reviews and Comments

Emergency Medicine Doctors in Spartanburg, SC

Stephanie Anja Taft, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 E Blackstock Rd, Spartanburg, SC 29301 Phone: 864-576-8646
Dr. John Falcon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-4123
Rosanna Patrice Couture, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025
Benjamin David Theobald, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 Fax: 864-560-7388
Kristin Demosthenes Rowland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000
Brandon Keith Wyss, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 Fax: 864-560-7388
Dr. Brian E Rothemich, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 E Wood St, Emergency Center, Spartanburg, SC 29303 Phone: 864-560-6222

Dr Brian Shane Frederick, MD - Medicare Emergency Medicine in Spartanburg, SC