Leslie Ginger Frederiksen, MD | |
4010 Jerry Murphy Road, Pueblo, CO 81001-1045 | |
(719) 546-2229 | |
(719) 583-9069 |
Full Name | Leslie Ginger Frederiksen |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 28 Years |
Location | 4010 Jerry Murphy Road, Pueblo, Colorado |
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 |
---|---|---|---|
1720015324 | NPI | - | NPPES |
48506311 | Medicaid | CO | |
11199754 | Other | CO | CAQH |
D009 | Other | CO | CHAMPUS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 41018 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mt San Rafael Hospital | Trinidad, CO | Hospital |
Spanish Peaks Regional Health Center | Walsenburg, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinidad Area Health Association | 2769394055 | 20 |
Huerfano County Hospital District | 4789591769 | 27 |
Entity Name | Trinidad Area Health Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467400309 PECOS PAC ID: 2769394055 Enrollment ID: O20031111000178 |
Entity Name | Huerfano County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982612065 PECOS PAC ID: 4789591769 Enrollment ID: O20040202001045 |
Entity Name | Huerfano County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164835419 PECOS PAC ID: 4789591769 Enrollment ID: O20170207001777 |
Entity Name | Huerfano County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346403375 PECOS PAC ID: 4789591769 Enrollment ID: O20170215001128 |
Entity Name | Huerfano County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154799526 PECOS PAC ID: 4789591769 Enrollment ID: O20171006000019 |
Mailing Address | Practice Location Address |
---|---|
Leslie Ginger Frederiksen, MD Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Leslie Ginger Frederiksen, MD 4010 Jerry Murphy Road, Pueblo, CO 81001-1045 Ph: (719) 546-2229 |
Dr. Laurel Elizabeth Wright, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave, Suite 400, Pueblo, CO 81003 Phone: 719-543-4000 Fax: 719-543-1041 | |
Sally M Berryman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 400, Pueblo, CO 81003 Phone: 719-543-4000 Fax: 719-543-1041 | |
Gregory K Berryman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 400, Pueblo, CO 81003 Phone: 719-543-4000 Fax: 719-543-4010 | |
Maureen Lynn Key, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1619 N Greenwood St, Pueblo, CO 81003 Phone: 719-542-9010 Fax: 719-542-9012 | |
Fernando Ariel Mahmoud, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1120 Minnequa Ave, Pueblo, CO 81004 Phone: 719-564-0660 Fax: 719-564-0037 | |
Dr. Rachel Christine Niemet, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave, Ste 400, Pueblo, CO 81003 Phone: 719-423-7170 Fax: 719-543-1041 | |
Dr. James N Meeuwsen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave, Pueblo, CO 81003 Phone: 719-543-6755 Fax: 719-583-2236 |