Dr John Thomas Frederick, MD | |
630 13th St, Suite 250, Augusta, GA 30901-1015 | |
(706) 724-2500 | |
(706) 823-5928 |
Full Name | Dr John Thomas Frederick |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 22 Years |
Location | 630 13th St, Augusta, Georgia |
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 |
---|---|---|---|
1932303815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 062983 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Doctors Hospital | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vascular Radiology Associates, Ii | 1456345651 | 13 |
Fresenius Vascular Care Augusta, Llc | 8527227875 | 9 |
Entity Name | Vascular Radiology Associates, Ii |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346357217 PECOS PAC ID: 1456345651 Enrollment ID: O20040412000671 |
Entity Name | Fresenius Vascular Care Augusta, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134412331 PECOS PAC ID: 8527227875 Enrollment ID: O20120307000043 |
Mailing Address | Practice Location Address |
---|---|
Dr John Thomas Frederick, MD 1125 Troupe St, Augusta, GA 30904-4480 Ph: (706) 737-4575 | Dr John Thomas Frederick, MD 630 13th St, Suite 250, Augusta, GA 30901-1015 Ph: (706) 724-2500 |
Dr. Erika Simmerman Mabes, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3052 Fax: 706-721-7501 | |
Dr. Elizabeth D Fox, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Mary Kathryn Boggs, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3647 J Dewey Gray Cir Ste 200, Augusta, GA 30909 Phone: 706-504-9712 Fax: 706-504-9703 | |
Dr. James Raley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2503 Fax: 706-721-1047 | |
Dr. Kathryne Holmes, MD Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St Rm Bi4076, Augusta, GA 30912 Phone: 706-721-4651 | |
Mr. Keith F. O'malley, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3671 | |
Dr. Thuy-huong Thi Pham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Bl 4070, Augusta, GA 30912 Phone: 706-721-0000 Fax: 706-721-1047 |