Dr Mark A Fredrickson, MD in Grand Rapids, MI

Dr Mark A Fredrickson, MD is a medicare enrolled "Family Medicine" physician in Grand Rapids, Michigan. His current practice location is 3299 Clear Vista Ct Ne, Suite C, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 361-1200.

Dr Mark A Fredrickson is licensed to practice in Michigan (license number MF048876) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356426712.

Contact Information

	Dr Mark A Fredrickson, MD
	3299 Clear Vista Ct Ne, Suite C, Grand Rapids, MI 49525
	(616) 361-1200
	(616) 361-2198

Map and Direction

Physician's Profile

Full Name	Dr Mark A Fredrickson
Gender	Male
Speciality	Family Medicine
Location	3299 Clear Vista Ct Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356426712
Provider Enumeration Date: 10/26/2006
Last Update Date: 10/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9739113770
Enrollment ID: I20050922000802

Medical Identifiers

Medical identifiers for Dr Mark A Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356426712	NPI	-	NPPES
2836516	Medicaid	MI
080D148480	Other		BCBS MICH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MF048876 (Michigan)	Primary

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 Mark A Fredrickson allows following entities to bill medicare on his behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

Entity Name	Grand Valley State University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518019223 PECOS PAC ID: 8224093992 Enrollment ID: O20041122000705

Entity Name	Riverwood Family Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972677656 PECOS PAC ID: 7911930060 Enrollment ID: O20050919000172

Entity Name	Advantage Health/saint Mary's Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279

Entity Name	Osh-mi Physicians Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700236478 PECOS PAC ID: 7810282191 Enrollment ID: O20160825001362

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 Mark A 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
Dr Mark A Fredrickson, MD 5514 Preserve Ct, Belmont, MI 49306-8510 Ph: () -	Dr Mark A Fredrickson, MD 3299 Clear Vista Ct Ne, Suite C, Grand Rapids, MI 49525 Ph: (616) 361-1200

Reviews and Comments

Family Medicine Doctors in Grand Rapids, MI

Tammy Born Huizenga, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701
Kristi Kern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-1500 Fax: 616-252-1599
Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600
Lucas Patrick Friedli, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6735 Cascade Rd Se, Suite 300, Grand Rapids, MI 49546 Phone: 616-956-9400 Fax: 616-956-9708
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225

Dr Mark A Fredrickson, MD - Medicare Family Medicine in Grand Rapids, MI