Dr Tiffany Ann Frederickson, | |
8412 Kitt Peak Rd, Rapid City, SD 57702-9512 | |
(515) 201-8982 | |
Not Available |
Full Name | Dr Tiffany Ann Frederickson |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 16 Years |
Location | 8412 Kitt Peak Rd, Rapid City, South Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265669956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | R-8763 (Iowa) | Secondary |
208600000X | Surgery | TD151001 (Maine) | Secondary |
208600000X | Surgery | 9138 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
A R Gould Hospital | Presque isle, ME | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aroostook Medical Center | 1153233663 | 111 |
Entity Name | Aroostook Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396858999 PECOS PAC ID: 1153233663 Enrollment ID: O20031104000020 |
Mailing Address | Practice Location Address |
---|---|
Dr Tiffany Ann Frederickson, 8412 Kitt Peak Rd, Rapid City, SD 57702-9512 Ph: (515) 201-8982 | Dr Tiffany Ann Frederickson, 8412 Kitt Peak Rd, Rapid City, SD 57702-9512 Ph: (515) 201-8982 |
Wesley L Sufficool, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 Founders Park Dr Ste 2, Rapid City, SD 57701 Phone: 605-791-5553 Fax: 605-791-5644 | |
Michael Statz, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Kristin Wempe, MD Surgery Medicare: Medicare Enrolled Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
John Bedingfield, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
David D Slama, MD Surgery Medicare: Medicare Enrolled Practice Location: 717 Saint Francis St, Rapid City, SD 57701 Phone: 605-342-2880 Fax: 605-388-4621 | |
Shannon Alexandria Williams, MD Surgery Medicare: Medicare Enrolled Practice Location: 22805 5th St, Rapid City, SD 57701 Phone: 605-719-5700 Fax: 605-719-5701 |