Dr Nicholas W Frederickson, MD | |
901 Patients First Drive Suite 3300, Washington, MO 63090 | |
(636) 239-7344 | |
(636) 239-9436 |
Full Name | Dr Nicholas W Frederickson |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 14 Years |
Location | 901 Patients First Drive Suite 3300, Washington, Missouri |
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 |
---|---|---|---|
1154640225 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R-8906 (Iowa) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 2016012330 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Washington | Washington, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Gastroenterology Llc | 8628121795 | 55 |
Entity Name | Mercy Clinic Gastroenterology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528295334 PECOS PAC ID: 8628121795 Enrollment ID: O20090806000762 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicholas W Frederickson, MD 901 Patients First Drive Suite 3300, Washington, MO 63090 Ph: (636) 239-7344 | Dr Nicholas W Frederickson, MD 901 Patients First Drive Suite 3300, Washington, MO 63090 Ph: (636) 239-7344 |
Dr. Isaac I Cohen, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 901 Patients First Drive, Washington, MO 63090 Phone: 636-390-1600 Fax: 636-390-1601 | |
Sudhanshu Gogia, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr, Washington, MO 63090 Phone: 636-239-7344 Fax: 636-239-9436 | |
Rashid Mahmood Qureshi, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8231 | |
Dr. John R Douglas Peterson, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 3300, Washington, MO 63090 Phone: 636-239-7344 | |
Mohan Mallikarjuna Edupuganti, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 2500, Washington, MO 63090 Phone: 636-239-2711 | |
Dr. Roberto Pacheco-coronado, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 2500, Washington, MO 63090 Phone: 636-239-2711 |