Michael Fredericson, MD | |
900 Blake Wilbur Dr, First Floor Mc 5311, Palo Alto, CA 94304-2201 | |
(650) 725-7139 | |
(650) 498-7546 |
Full Name | Michael Fredericson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 36 Years |
Location | 900 Blake Wilbur Dr, Palo Alto, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760538110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | G67096 (California) | Primary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | G67096 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Stanford Health Care | Stanford, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stanford Health Care | 6709797491 | 2579 |
Entity Name | Stanford Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Mailing Address | Practice Location Address |
---|---|
Michael Fredericson, MD 300 Pasteur Dr, Edwards R105 Mc 5341, Stanford, CA 94305-2200 Ph: (650) 725-7139 | Michael Fredericson, MD 900 Blake Wilbur Dr, First Floor Mc 5311, Palo Alto, CA 94304-2201 Ph: (650) 725-7139 |
Dr. Wade Kingery, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave, Vapahcs, Pmr (117), Palo Alto, CA 94304 Phone: 650-493-5000 | |
Dr. Olga Toloknova, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 401 Webster St, Palo Alto, CA 94301 Phone: 650-327-4333 | |
Darren Don, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2990 | |
Doug T Ota, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave # Mc-128, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Vandana Punj, M.D Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave # Sci/128, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Alexis Reid, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3825 El Camino Real, Palo Alto, CA 94306 Phone: 650-565-8090 Fax: 650-565-8095 | |
Dr. Molly Timmerman, DO Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Palo Alto, CA 94304 Phone: 650-723-2206 |