Angelia Frederick, CNP in Chamberlain, SD - Medicare Nurse Practitioner

Angelia Frederick, CNP is a medicare enrolled "Nurse Practitioner - Family" in Chamberlain, South Dakota. Her current practice location is 100 Sioux Drive, Chamberlain, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 730-5639.

Angelia Frederick is licensed to practice in South Dakota (license number CP001170) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518409887.

Contact Information

	Angelia Frederick, CNP
	100 Sioux Drive, Chamberlain, SD 57325
	(605) 730-5639
	Not Available

Map and Direction

Provider's Profile

Full Name	Angelia Frederick
Gender	Female
Speciality	Nurse Practitioner - Family
Location	100 Sioux Drive, Chamberlain, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518409887
Provider Enumeration Date: 11/17/2016
Last Update Date: 11/17/2016

Medicare PECOS Information:

PECOS PAC ID: 1658648423
Enrollment ID: I20170526000215

Medical Identifiers

Medical identifiers for Angelia Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518409887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	R029072 (South Dakota)	Secondary
363LF0000X	Nurse Practitioner - Family	CP001170 (South Dakota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angelia Frederick allows following entities to bill medicare on her behalf.

Entity Name	Rosebud Indian Health Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337

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. Angelia Frederick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Angelia Frederick, CNP 100 Sioux Dr, Chamberlain, SD 57325-1742 Ph: (605) 730-5639	Angelia Frederick, CNP 100 Sioux Drive, Chamberlain, SD 57325 Ph: (605) 730-5639

Reviews and Comments

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Angelia Frederick, CNP - Medicare Nurse Practitioner in Chamberlain, SD