Christopher Raymond Fredericks, is a medicare enrolled "Internal Medicine - Gastroenterology" in Albuquerque, New Mexico. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Presbyterian Healthcare Services and his current practice location is
1100 Lead Ave Se, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 224-7000.
Christopher Raymond Fredericks is licensed to practice in New Mexico (license number 56664) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265094965.
Provider's Profile
| Full Name | Christopher Raymond Fredericks |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1100 Lead Ave Se, Albuquerque, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Christopher Raymond Fredericks graduated from nursing school in 2019
NPI Data:
- NPI Number: 1265094965
- Provider Enumeration Date: 07/02/2019
- Last Update Date: 07/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 4587992789
- Enrollment ID: I20190827000263
Medical Identifiers
Medical identifiers for Christopher Raymond Fredericks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265094965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 56664 (New Mexico) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | 56664 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Presbyterian Healthcare Services | 9234041708 | 1119 |
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. Christopher Raymond Fredericks allows following entities to bill medicare on his behalf.
| Entity Name | Presbyterian Healthcare Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603 |
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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. Christopher Raymond Fredericks 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 |
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Christopher Raymond Fredericks,
408 Vassar Dr Se,
Albuquerque, NM 87106-2806
Ph: (505) 629-2079 | Christopher Raymond Fredericks,
1100 Lead Ave Se,
Albuquerque, NM 87106-5215
Ph: (505) 224-7000 |
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