Dr Lee Austin Fredrickson Jr, MD | |
2094 E State St Ste D, Salem, OH 44460-4409 | |
(330) 332-7220 | |
(234) 542-6148 |
Full Name | Dr Lee Austin Fredrickson Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 10 Years |
Location | 2094 E State St Ste D, Salem, Ohio |
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 |
---|---|---|---|
1427476753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35-130790 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Salem Regional Medical Center | Salem, OH | Hospital |
Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novacare Rehabilitation Of Ohio Inc | 0345159315 | 203 |
Sch Professional Corporation | 0941291868 | 55 |
Entity Name | Sch Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619959822 PECOS PAC ID: 0941291868 Enrollment ID: O20040520000126 |
Mailing Address | Practice Location Address |
---|---|
Dr Lee Austin Fredrickson Jr, MD 2094 E State St Ste D, Salem, OH 44460-4409 Ph: (330) 332-7220 | Dr Lee Austin Fredrickson Jr, MD 2094 E State St Ste D, Salem, OH 44460-4409 Ph: (330) 332-7220 |
Dr. Richard W Beatty, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-330-1551 Fax: 330-332-7724 | |
Shawn Clark, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2094 E State St Ste A, Salem, OH 44460 Phone: 330-337-2868 Fax: 330-337-2875 | |
William Z Kolozsi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2094 E State St Ste B, Salem, OH 44460 Phone: 330-337-8709 Fax: 330-337-9019 | |
Dr. Jocelyn Florendo Shimek, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 564 E 2nd St, Salem, OH 44460 Phone: 234-567-8150 Fax: 234-567-8189 | |
Susan Aey, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 564 E 2nd St, Salem, OH 44460 Phone: 330-332-5232 Fax: 330-332-4771 | |
Francisco A. Mateo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2094 E State St, Suite G, Salem, OH 44460 Phone: 330-337-0177 Fax: 330-337-0178 |