| Gail June Fredericks, MD | |
|
121 Diana St, Placerville, CA 95667-3313 | |
| (530) 559-2880 | |
| (530) 622-2979 |
| Full Name | Gail June Fredericks |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Location | 121 Diana St, Placerville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659468999 | NPI | - | NPPES |
| 00A616460 | Medicaid | CA | |
| 05D0932276 | Other | CA | CLIA ID NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A61646 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gail June Fredericks, MD 121 Diana St, Placerville, CA 95667-3313 Ph: (530) 559-2880 | Gail June Fredericks, MD 121 Diana St, Placerville, CA 95667-3313 Ph: (530) 559-2880 |
Grant R Gwinup, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1095 Marshall Way Ste 203, Placerville, CA 95667 Phone: 530-344-5496 | |
Diane Bass, FNP General Practice Medicare: Medicare Enrolled Practice Location: 4327 Golden Center Dr, Placerville, CA 95667 Phone: 530-621-7700 Fax: 530-621-7707 | |
Dr. Alexis F Long, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1100 Marshall Way, Placerville, CA 95667 Phone: 530-626-3682 |