| Dr Douglas R Fredrick, MD | |
|
395 Hickey Blvd, Daly City, CA 94015-2770 | |
| (650) 742-2000 | |
| Not Available |
| Full Name | Dr Douglas R Fredrick |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist |
| Location | 395 Hickey Blvd, Daly City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053366633 | NPI | - | NPPES |
| 00A438210 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0110X | Ophthalmology - Pediatric Ophthalmology And Strabismus Specialist | A43821 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | University Of California Sfgh Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366417420 PECOS PAC ID: 5496668410 Enrollment ID: O20031112000551 |
| Entity Name | City & County Of San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas R Fredrick, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Dr Douglas R Fredrick, MD 395 Hickey Blvd, Daly City, CA 94015-2770 Ph: (650) 742-2000 |
Daniel J Buckley, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1800 Sullivan Ave Rm 410, Daly City, CA 94015 Phone: 650-991-9007 Fax: 650-991-0882 | |
John E. Skerry, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 | |
Charlene Hsu-winges, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 | |
Mrs. Thuy Nguyen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1850 Sullivan Ave, Ste 500, Daly City, CA 94015 Phone: 925-992-9221 | |
Jennifer J. Diehn, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 | |
Dr. Shaheen P. Karim, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 395 Hickey Blvd, Daly City, CA 94015 Phone: 650-742-2000 |