Elaine M Fredrickson, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in West Palm Beach, Florida. Her current practice location is
4700 N Congress Ave, Ste 103, West Palm Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 255-3131.
Elaine M Fredrickson is licensed to practice in Kentucky (license number 3014562) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972564433.
Physician's Profile
| Full Name | Elaine M Fredrickson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 4700 N Congress Ave, West Palm Beach, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1972564433
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 05/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769675743
- Enrollment ID: I20220523002565
Medical Identifiers
Medical identifiers for Elaine M Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972564433 | NPI | - | NPPES |
| 7100814330 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | ARNP9186537 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3014562 (Kentucky) | Primary |
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. Elaine M Fredrickson allows following entities to bill medicare on her behalf.
| Entity Name | Estill Medical Clinic, Psc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1154500296
PECOS PAC ID: 5597845255
Enrollment ID: O20080108000027 |
|---|
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. Elaine M 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 |
|---|
Elaine M Fredrickson, APRN
5336 Ann Arbor Dr,
Bokeelia, FL 33922-3016
Ph: (561) 248-9297 | Elaine M Fredrickson, APRN
4700 N Congress Ave, Ste 103,
West Palm Beach, FL 33407-3284
Ph: (561) 255-3131 |
Reviews and Comments