| Jeffrey L Frederich, MD | |
|
120 Pershing Way, Paducah, KY 42001-8914 | |
| (270) 816-7526 | |
| (270) 908-8322 |
| Full Name | Jeffrey L Frederich |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 120 Pershing Way, Paducah, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508882010 | NPI | - | NPPES |
| 7100109070 | Medicaid | KY | |
| 43994 | Other | KY | KENTUCKY MEDICAL LICENSE |
| Entity Name | Trigg County Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538218680 PECOS PAC ID: 5193620805 Enrollment ID: O20031205000118 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Entity Name | Trigg County Hospital, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538218680 PECOS PAC ID: 5193620805 Enrollment ID: O20080103000025 |
| Entity Name | App Of Kentucky Ed, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497157341 PECOS PAC ID: 0749502862 Enrollment ID: O20141201000389 |
| Entity Name | Concord Medical Group Of Kentucky Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233 |
| Entity Name | Concord Company Of Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649743667 PECOS PAC ID: 0345588109 Enrollment ID: O20190221000097 |
| Entity Name | Western Healthcare Services Kentucky Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770243842 PECOS PAC ID: 0941695936 Enrollment ID: O20220309001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey L Frederich, MD 3805 Still Meadow Ln, Lexington, KY 40509-2951 Ph: (270) 816-7526 | Jeffrey L Frederich, MD 120 Pershing Way, Paducah, KY 42001-8914 Ph: (270) 816-7526 |
Shelby Nicole Smothers, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4720 Village Square Dr Ste B, Paducah, KY 42001 Phone: 270-554-0090 | |
Dr. David B Saxon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5158 Village Square Dr, Paducah, KY 42001 Phone: 270-443-4311 Fax: 270-443-4145 | |
Thomas Benjamin Slavin, REGISTERED NURSE Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2620 Perkins Creek Dr, Paducah, KY 42001 Phone: 270-444-8465 Fax: 270-443-7734 | |
Christopher A Manger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1530 Lone Oak Rd, Paducah, KY 42003 Phone: 270-444-2150 Fax: 270-444-2985 | |
Dr. Ethan Pace Walker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6321 Kentucky Dam Rd, Paducah, KY 42003 Phone: 270-898-2444 Fax: 618-453-1102 | |
Andrew Kinchen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2331 New Holt Rd, Paducah, KY 42001 Phone: 270-441-4777 Fax: 270-441-4780 | |
Dr. Sunny Mehrotra, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Dr Ste 304, Paducah, KY 42003 Phone: 270-538-5596 |