Dr Jon Randall Frederick, MD | |
8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 | |
(804) 993-3039 | |
(804) 447-1953 |
Full Name | Dr Jon Randall Frederick |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 8639 Mayland Dr Ste 102, Richmond, 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 8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 Ph: (804) 993-3039 |
Dr. Enjana Bylykbashi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1213 E Clay St, Richmond, VA 23298 Phone: 804-828-0996 | |
Robert Weisberger, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5801 Bremo Rd, Virginia Emergency Associates Inc, Richmond, VA 23226 Phone: 804-287-7066 Fax: 804-673-9531 | |
Dr. Michael Ferebee, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 757-329-3754 | |
James R Shefferly, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5801 Bremo Rd, Virginia Emergency Associates Inc, Richmond, VA 23226 Phone: 804-287-7066 Fax: 804-673-9531 | |
Jeffry A Zimmerman, P.A. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5801 Bremo Rd, St Francis Emergency Department, Richmond, VA 23226 Phone: 804-287-7066 Fax: 804-673-9531 | |
Shawn M Borich, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Rockbridge St Ste 103, Richmond, VA 23230 Phone: 804-386-0200 | |
Tamera Barnes, MD, FACEP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7101 Jahnke Rd, Richmond, VA 23225 Phone: 804-330-2000 |