John C Fredericks, MD | |
555 E Valley Pkwy, Escondido, CA 92025-3048 | |
(760) 739-3300 | |
Not Available |
Full Name | John C Fredericks |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 555 E Valley Pkwy, Escondido, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124034749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G32763 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
Mailing Address | Practice Location Address |
---|---|
John C Fredericks, MD 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2777 | John C Fredericks, MD 555 E Valley Pkwy, Escondido, CA 92025-3048 Ph: (760) 739-3300 |
Brad Lynn Schwartz, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
Dr. Erica Bailey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2185 Citracado Pkwy, Escondido, CA 92029 Phone: 442-281-1072 | |
John S. Anshus, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
Jennifer P Cohen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 N Ash St, Escondido, CA 92027 Phone: 760-385-3739 Fax: 888-800-8266 | |
Russell W. Engevik, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 | |
John C. Gill, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 E Valley Pkwy, Escondido, CA 92025 Phone: 760-739-3300 |