Rose E Fredericks, MD is a
Internal Medicine physician based in Manville, Rhode Island. Rose E Fredericks is licensed to practice in Massachusetts (license number 76629) and her current practice location is 15 Joyce Anne Dr, Manville, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 766-3334.
NPI number for Rose E Fredericks is 1326171026 and her current mailing address is 15 Joyce Anne Dr, Manville, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326171026.
Physician's Profile
| Full Name | Rose E Fredericks |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 15 Joyce Anne Dr, Manville, Rhode Island |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326171026
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Rose E Fredericks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326171026 | NPI | - | NPPES |
| B10071401 | Other | | CIGNA |
| AA47729 | Other | | HPHC |
| 413130 | Other | | BLUE CHIP |
| 28351 | Other | | BMC HEALTHNET |
| 3099750 | Medicaid | MA | |
| J13174 | Other | MA | BCBSMA |
| 076629 | Other | | TUFTS |
| 31041-9 | Other | RI | BCBSRI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 76629 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rose E Fredericks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rose E Fredericks, MD
15 Joyce Anne Dr,
Manville, RI 02838-1017
Ph: (401) 766-3334 | Rose E Fredericks, MD
15 Joyce Anne Dr,
Manville, RI 02838-1017
Ph: (401) 766-3334 |
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