Dr Peter Daniel Fredericks, MD | |
175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 | |
(719) 365-1950 | |
(719) 365-1951 |
Full Name | Dr Peter Daniel Fredericks |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 17 Years |
Location | 175 S Union Blvd Ste 300, Colorado Springs, Colorado |
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 |
---|---|---|---|
1003010919 | NPI | - | NPPES |
54988764 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | FF3091573 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter Daniel Fredericks, MD 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 Ph: (719) 365-1950 | Dr Peter Daniel Fredericks, MD 175 S Union Blvd Ste 300, Colorado Springs, CO 80910-3126 Ph: (719) 365-1950 |
Dr. Paul B Rahill, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2925 Professional Pl, Ste 110, Colorado Springs, CO 80904 Phone: 719-445-0344 Fax: 719-445-0357 | |
David A Labosky, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy, 300, Colorado Springs, CO 80920 Phone: 719-632-7669 Fax: 719-632-0088 | |
John Carlton Redfern, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920 Phone: 719-632-7669 Fax: 719-632-0088 | |
Augusta W Kluk, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5818 N Nevada Avenue, Suite 110, Colorado Springs, CO 80918 Phone: 719-365-1950 Fax: 719-365-1951 | |
Wiley J. Jinkins Iii, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2020 N Academy Blvd, Suite 155, Colorado Springs, CO 80909 Phone: 719-219-0914 Fax: 719-219-0916 | |
Dr. John Thomas Allerdice Seddon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8890 N Union Blvd Ste 171, Colorado Springs, CO 80920 Phone: 303-719-1950 |