Jennifer B Fredrickson, APN in Southaven, MS - Medicare Nurse Practitioner

Jennifer B Fredrickson, APN is a medicare enrolled "Nurse Practitioner - Women's Health" in Southaven, Mississippi. She graduated from nursing school in 2001 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ivyraine Womens Clinic and her current practice location is 3964 Goodman Rd E Ste 131, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 856-8440.

Jennifer B Fredrickson is licensed to practice in Mississippi (license number R854891) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689710402.

Contact Information

	Jennifer B Fredrickson, APN
	3964 Goodman Rd E Ste 131, Southaven, MS 38672-8762
	(662) 856-8440
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer B Fredrickson
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	3964 Goodman Rd E Ste 131, Southaven, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer B Fredrickson graduated from nursing school in 2001

NPI Data:

NPI Number: 1689710402
Provider Enumeration Date: 01/29/2007
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 6800838525
Enrollment ID: I20051003000410

Medical Identifiers

Medical identifiers for Jennifer B Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689710402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	R854891 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital
Methodist Healthcare - Olive Branch Hospital	Olive branch, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ivyraine Womens Clinic	4284025388	3

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. Jennifer B Fredrickson allows following entities to bill medicare on her behalf.

Entity Name	Ivyraine Womens Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962166264 PECOS PAC ID: 4284025388 Enrollment ID: O20211228001812

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. Jennifer B Fredrickson 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
Jennifer B Fredrickson, APN 3964 Goodman Rd E Ste 131, Southaven, MS 38672-8762 Ph: (662) 856-8440	Jennifer B Fredrickson, APN 3964 Goodman Rd E Ste 131, Southaven, MS 38672-8762 Ph: (662) 856-8440

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671 Phone: 662-470-7549 Fax: 269-906-2006
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Jennifer B Fredrickson, APN - Medicare Nurse Practitioner in Southaven, MS