Dr Nathan P Fredrick, DO | |
300 Singleton Ridge Rd, Conway, SC 29526-9142 | |
(843) 347-8015 | |
(843) 347-8017 |
Full Name | Dr Nathan P Fredrick |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 27 Years |
Location | 300 Singleton Ridge Rd, Conway, South Carolina |
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 |
---|---|---|---|
1871525907 | NPI | - | NPPES |
020051649 | Other | MEDICARE RAILROAD | |
0361220182 | Medicaid | IL | |
T00391 | Medicaid | SC | |
P00679662 | Other | RAILROAD MCARE | |
P00936457 | Other | IL | RRMCARE THRU CESIISC (GES) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 637 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Proctor Hospital | Peoria, IL | Hospital |
Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epss Peoria Llc | 1850587007 | 20 |
Entity Name | Epss Peoria Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
Entity Name | Epss Llc - East Series |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841533882 PECOS PAC ID: 8729213459 Enrollment ID: O20140213001518 |
Entity Name | Methodist Medical Center Of Illinois |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
Entity Name | Epss Llc - Central Series |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
Entity Name | Epss North Region Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194282707 PECOS PAC ID: 0345582474 Enrollment ID: O20190422000388 |
Entity Name | Epss, Llc- Metro Series |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782305 PECOS PAC ID: 6608266713 Enrollment ID: O20211203002440 |
Mailing Address | Practice Location Address |
---|---|
Dr Nathan P Fredrick, DO Po Box 829, Conway, SC 29528-0829 Ph: (843) 347-8015 | Dr Nathan P Fredrick, DO 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: (843) 347-8015 |
Dr. Allen E Smolenski, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 Fax: 843-347-8017 | |
Dr. Mark S Jeanjaquet, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 Fax: 843-347-8017 | |
Jorge Luis Infante, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 | |
Dr. John Allen Rogowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 Fax: 843-347-8017 | |
Amanda S Battisti, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8037 Fax: 843-347-8056 | |
Dr. Edward Thomas Grove, MD, MSPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 |