Dr Fredericka Creech Lockett, MD is a
Internal Medicine physician based in Bloomfield, Kentucky. Dr Fredericka Creech Lockett is licensed to practice in Kentucky (license number 19893) and her current practice location is 107 Perry St, Bloomfield, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(502) 252-5081.
NPI number for Dr Fredericka Creech Lockett is 1598714065 and her current mailing address is Po Box 400, Bloomfield, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598714065.
Physician's Profile
| Full Name | Dr Fredericka Creech Lockett |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 107 Perry St, Bloomfield, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1598714065
- Provider Enumeration Date: 05/10/2006
- Last Update Date: 05/07/2012
Medical Identifiers
Medical identifiers for Dr Fredericka Creech Lockett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598714065 | NPI | - | NPPES |
| 000000047086 | Other | | ANTHEM |
| 610963741B | Other | | HUMANA |
| 080025519 | Other | | RAILROAD MEDICARE |
| 243244900 | Other | | PASSPORT |
| 1049285 | Other | | PASSPORT |
| 64198930 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 19893 (Kentucky) | Primary |
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 Fredericka Creech Lockett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Fredericka Creech Lockett, MD
Po Box 400,
Bloomfield, KY 40008
Ph: (502) 252-5081 | Dr Fredericka Creech Lockett, MD
107 Perry St,
Bloomfield, KY 40008
Ph: (502) 252-5081 |
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