Dr Jon Randall Frederick, MD | |
8260 Atlee Rd, Emergency Dept, Mechanicsville, VA 23116 | |
(804) 764-6300 | |
(804) 764-6562 |
Full Name | Dr Jon Randall Frederick |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 8260 Atlee Rd, Mechanicsville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003997800 | NPI | - | NPPES |
12723963 | Other | VA | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101242098 (Virginia) | Secondary |
207P00000X | Emergency Medicine | 0101242098 (Virginia) | Primary |
Entity Name | Alchemy Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750923173 PECOS PAC ID: 2961831516 Enrollment ID: O20200401003008 |
Mailing Address | Practice Location Address |
---|---|
Dr Jon Randall Frederick, MD 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Jon Randall Frederick, MD 8260 Atlee Rd, Emergency Dept, Mechanicsville, VA 23116 Ph: (804) 764-6300 |
Alan L Thurman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8200 Meadowbridge Rd Ste 301, Mechanicsville, VA 23116 Phone: 804-442-3750 Fax: 804-559-8535 | |
Dr. April N Obier, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-6111 | |
Justin Guy Myers, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8260 Atlee Road, Emergency Department, Mechanicsville, VA 23116 Phone: 804-569-7007 | |
Matthew Baltz, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 240-686-2300 | |
Dr. Ralph H. Robertson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-6111 | |
Dr. William Burke Best, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8260 Atlee Road, Mechanicsville, VA 23116 Phone: 804-764-6000 Fax: 804-764-6420 | |
Lauren Gregg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8260 Atlee Rd, Memorial Regional Medical Center, Mechanicsville, VA 23116 Phone: 804-569-7007 Fax: 804-569-1772 |