Dr Scott Hartley Fredrickson, MD is a medicare enrolled "Emergency Medicine" physician in Slc, Utah. His current practice location is
144 S 500 E, Slc, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 463-7415.
Dr Scott Hartley Fredrickson is licensed to practice in Utah (license number 7536320-1205) 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 1144420357.
Physician's Profile
Full Name | Dr Scott Hartley Fredrickson |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 144 S 500 E, Slc, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144420357
- Provider Enumeration Date: 07/25/2007
- Last Update Date: 10/23/2014
Medicare PECOS Information:
- PECOS PAC ID: 8224189808
- Enrollment ID: I20101021000005
Medical Identifiers
Medical identifiers for Dr Scott Hartley Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144420357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 7536320-1205 (Utah) | Primary |
207P00000X | Emergency Medicine | A106215 (California) | Secondary |
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 Scott Hartley Fredrickson allows following entities to bill medicare on his behalf.
Entity Name | Emergency Physicians Integrated Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
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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 Scott Hartley 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 Scott Hartley Fredrickson, MD 144 S 500 E, Slc, UT 84102-1907 Ph: (801) 463-7415 | Dr Scott Hartley Fredrickson, MD 144 S 500 E, Slc, UT 84102-1907 Ph: (801) 463-7415 |
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