Dr Kristin Lee Fredrickson, DO is a medicare enrolled "Otolaryngology" physician in Hibbing, Minnesota. She went to Kansas City University Of Physicians And Surgeons and graduated in 2001 and has 23 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Range Regional Health Services and her current practice location is
3605 Mayfair Ave, Hibbing, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 262-3441.
Dr Kristin Lee Fredrickson is licensed to practice in Minnesota (license number 48615) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912957408.
Physician's Profile
| Full Name | Dr Kristin Lee Fredrickson |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 23 Years |
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| Location | 3605 Mayfair Ave, Hibbing, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kristin Lee Fredrickson attended and graduated from Kansas City University Of Physicians And Surgeons in 2001
NPI Data:
- NPI Number: 1912957408
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 09/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 7810900065
- Enrollment ID: I20060711000268
Medical Identifiers
Medical identifiers for Dr Kristin Lee Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912957408 | NPI | - | NPPES |
| 48615 | Other | MN | MN LIC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 48615 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Range Regional Health Services | 8022920024 | 130 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kristin Lee Fredrickson allows following entities to bill medicare on her behalf.
| Entity Name | Range Regional Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095 |
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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 Kristin Lee Fredrickson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Kristin Lee Fredrickson, DO
3605 Mayfair Ave,
Hibbing, MN 55746-2923
Ph: (218) 262-3441 | Dr Kristin Lee Fredrickson, DO
3605 Mayfair Ave,
Hibbing, MN 55746-2923
Ph: (218) 262-3441 |
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