Kirsten E Frederiksen, | |
10085 Double R Blvd Ste 325, Reno, NV 89521-4832 | |
(775) 982-5073 | |
(775) 982-3958 |
Full Name | Kirsten E Frederiksen |
---|---|
Gender | Female |
Speciality | Internal Medicine - Obesity Medicine |
Location | 10085 Double R Blvd Ste 325, Reno, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518057314 | NPI | - | NPPES |
963137 | Medicaid | AZ | |
201313100 | Medicaid | IN | |
P01588213 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 16719 (Nevada) | Secondary |
208M00000X | Hospitalist | 16719 (Nevada) | Secondary |
207RB0002X | Internal Medicine - Obesity Medicine | 16719 (Nevada) | Primary |
Entity Name | Healthy Life Physicians Group Pacific Northwest Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558010132 PECOS PAC ID: 3476938069 Enrollment ID: O20220919000474 |
Mailing Address | Practice Location Address |
---|---|
Kirsten E Frederiksen, 850 Harvard Way, Reno, NV 89502-2055 Ph: (775) 982-5262 | Kirsten E Frederiksen, 10085 Double R Blvd Ste 325, Reno, NV 89521-4832 Ph: (775) 982-5073 |
Dr. Richard Bruce Rosen, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 781 Mill St, Reno, NV 89502 Phone: 775-398-1980 Fax: 775-398-1981 | |
Rahul Navin Mediwala, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E 2nd St, Suite 201, Reno, NV 89502 Phone: 775-982-3355 Fax: 775-982-3356 | |
Dr. Raymond Hill Scott Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Crampton St, Reno, NV 89502 Phone: 775-336-3700 Fax: 775-336-3701 | |
Dr. Bruce William Denney, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1155 Mill St Ms W14, Reno, NV 89502 Phone: 775-982-7878 Fax: 775-982-4196 | |
Dr. Elmer Epres Alegre, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1715 Kuenzli St, Reno, NV 89502 Phone: 775-329-5162 Fax: 775-334-4356 | |
Dr. Devang Mahesh Desai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5390 Longley Ln, Reno, NV 89511 Phone: 775-302-0000 Fax: 775-260-0368 | |
Dr. Louis Christopher Tripoli, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1510 Meadow Wood Ln, Prominence Health, Reno, NV 89502 Phone: 775-770-9242 Fax: 928-832-2864 |