Jennifer Fredericks, MD | |
@ Columbia Drive, J402, Tampa, FL 33606 | |
(813) 844-7412 | |
Not Available |
Full Name | Jennifer Fredericks |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | @ Columbia Drive, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861686123 | NPI | - | NPPES |
148MZ | Other | FL | FL BCBS |
002280100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME106514 (Florida) | Primary |
Entity Name | Emergency Physicians Of St Petersburg Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851726566 PECOS PAC ID: 1658433883 Enrollment ID: O20131018001465 |
Entity Name | Emergency Physicians Of Pinellas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023590056 PECOS PAC ID: 6608128038 Enrollment ID: O20181011002068 |
Entity Name | Emergency Physicians Of Crossroads |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538858774 PECOS PAC ID: 2264894245 Enrollment ID: O20230809000692 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Fredericks, MD @ Columbia Drive, J402, Tampa, FL 33606 Ph: (813) 844-7412 | Jennifer Fredericks, MD @ Columbia Drive, J402, Tampa, FL 33606 Ph: (813) 844-7412 |
Jennifer Darlene Tiller, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2727 W Dr Martin Luther King Jr Blvd, Suite 300, Tampa, FL 33607 Phone: 813-874-5707 | |
Habib H. Karkavandian, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12187 W Linebaugh Ave, Tampa, FL 33626 Phone: 813-814-4900 | |
Kaivon Madani, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Columbia Dr, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Dr. Paul Carl Prator, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-971-6000 Fax: 813-615-7590 | |
Dr. Diana R Carbonero-camuzzi, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Columbia Dr, Tampa, FL 33606 Phone: 813-844-7000 | |
Deborah Ml Repaskey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Mr. Reginald Saint-hilaire, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7000 |