Jennifer S Fredericks, MD | |
820 S Il Route 59, Bartlett, IL 60103-1694 | |
(630) 483-5930 | |
(630) 483-5939 |
Full Name | Jennifer S Fredericks |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 25 Years |
Location | 820 S Il Route 59, Bartlett, Illinois |
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 |
---|---|---|---|
1093743163 | NPI | - | NPPES |
3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
0222075 | Other | IL | BLUE CROSS GROUP NUMBER |
036106524 | Medicaid | ID | |
36-3149833 | Other | ID | TAX IDENTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036106524 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Delnor Community Hospital | Geneva, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Jennifer S Fredericks, MD 820 S Il Route 59, Bartlett, IL 60103-1694 Ph: (630) 483-5930 | Jennifer S Fredericks, MD 820 S Il Route 59, Bartlett, IL 60103-1694 Ph: (630) 483-5930 |
Charles Kalenowski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1041 W Stearns Rd, Bartlett, IL 60103 Phone: 630-716-7500 | |
Dr. Palosha Ahmed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1041 W Stearns Rd, Bartlett, IL 60103 Phone: 630-716-7500 | |
Walter J Beusse, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 824 W Bartlett Rd, Bartlett, IL 60103 Phone: 630-213-3217 Fax: 630-213-8140 | |
Brenda Bergeson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1124 W Stearns Rd, Bartlett, IL 60103 Phone: 630-213-7788 | |
Monica Chirila, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1124 Stearns Rd, Bartlett, IL 60103 Phone: 630-213-7788 | |
Michael Brunner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1041 W Stearns Rd, Bartlett, IL 60103 Phone: 630-716-7500 |