Dr Robert W Frederick, MD | |
703 E Marshall Ave Ste 5007, Longview, TX 75601 | |
(903) 315-4455 | |
(903) 315-2466 |
Full Name | Dr Robert W Frederick |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 27 Years |
Location | 703 E Marshall Ave Ste 5007, Longview, Texas |
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 |
---|---|---|---|
1780658112 | NPI | - | NPPES |
145418306 | Medicaid | TX | |
145418307 | Medicaid | TX | |
75-2616977-007 | Other | TX | TRICARE-DOUGLAS |
752616977029 | Other | TX | TRICARE ATHENS LOCATION |
75-2616977-126 | Other | TX | TRICARE |
75-2616977-029 | Other | TX | TRICARE |
145418308 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | K7155 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Good Shepherd Medical Center | Longview, TX | Hospital |
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert W Frederick, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Dr Robert W Frederick, MD 703 E Marshall Ave Ste 5007, Longview, TX 75601 Ph: (903) 315-4455 |
Adrienne J K Carmack, MD Urology Medicare: Medicare Enrolled Practice Location: 703 E Marshall Ave, Suite 5007, Longview, TX 75601 Phone: 903-315-4455 Fax: 903-315-2466 | |
Dr. Paul Brian Williams, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr, Longview, TX 75605 Phone: 903-757-7871 Fax: 903-753-2479 | |
Landon Taylor Erickstad, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr Ste 400, Longview, TX 75605 Phone: 903-757-7871 Fax: 903-753-2479 | |
Dr. John M Ferrell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, Suite 5008, Longview, TX 75601 Phone: 903-757-7871 Fax: 903-753-2479 | |
Gid Roger Johnson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1608 Sweetbriar St, Longview, TX 75604 Phone: 903-297-6000 Fax: 903-297-6250 | |
Dr. Gregory Ashton Edwards, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr, Suite 400, Longview, TX 75605 Phone: 903-757-7871 Fax: 903-753-2479 | |
Dr. Timothy W Howes, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, Suite 5008, Longview, TX 75601 Phone: 903-757-7871 Fax: 903-753-2479 |