Dr Luke Richard Frederick, MD | |
351 Executive Pkwy, Rockford, IL 61107-5339 | |
(815) 398-4057 | |
(815) 398-0220 |
Full Name | Dr Luke Richard Frederick |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 13 Years |
Location | 351 Executive Pkwy, Rockford, Illinois |
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 |
---|---|---|---|
1043507866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036140866 (Illinois) | Primary |
208800000X | Urology | 125.059642 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Fhn Memorial Hospital | Freeport, IL | Hospital |
Swedish American Hospital | Rockford, IL | Hospital |
Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
Javon Bea Hospital | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rockford Urological Associates Ltd | 3971604380 | 12 |
Entity Name | Rockford Urological Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194786558 PECOS PAC ID: 3971604380 Enrollment ID: O20070728000015 |
Mailing Address | Practice Location Address |
---|---|
Dr Luke Richard Frederick, MD 351 Executive Pkwy, Rockford, IL 61107-5339 Ph: (815) 398-4057 | Dr Luke Richard Frederick, MD 351 Executive Pkwy, Rockford, IL 61107-5339 Ph: (815) 398-4057 |
Daniel Lee Houlihan, D.O. Urology Medicare: Medicare Enrolled Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Ashley Wire, FNP-BC Urology Medicare: Medicare Enrolled Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Christopher Whelan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-316-4296 | |
Douglas Paul Roegner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 | |
Daniel Lawler Swift, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 Fax: 815-398-0220 | |
Michael John Fumo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 351 Executive Pkwy, Rockford, IL 61107 Phone: 815-398-4057 |