Lance R Fredrickson, CRNA in Athens, TX - Medicare Nurse Anesthetist, Certified Registered

Lance R Fredrickson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Athens, Texas. His current practice location is 510 E Clinton Ave, Athens, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 677-7434.

Lance R Fredrickson is licensed to practice in Missouri (license number 200801739) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659522308.

Contact Information

	Lance R Fredrickson, CRNA
	510 E Clinton Ave, Athens, TX 75751-3410
	(903) 677-7434
	(903) 677-1472

Map and Direction

Provider's Profile

Full Name	Lance R Fredrickson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	510 E Clinton Ave, Athens, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659522308
Provider Enumeration Date: 09/30/2008
Last Update Date: 01/19/2017

Medicare PECOS Information:

PECOS PAC ID: 9739241233
Enrollment ID: I20150505000711

Medical Identifiers

Medical identifiers for Lance R Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659522308	NPI	-	NPPES
3504375-01	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	200801739 (Missouri)	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. Lance R Fredrickson allows following entities to bill medicare on his behalf.

Entity Name	Austin Anesthesiology Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439

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. Lance R 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
Lance R Fredrickson, CRNA 510 E Clinton Ave, Athens, TX 75751-3410 Ph: (903) 677-1000	Lance R Fredrickson, CRNA 510 E Clinton Ave, Athens, TX 75751-3410 Ph: (903) 677-7434

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Athens, TX

Timothy Earl Adair, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-5586
Pamela Gail Frederick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-5586
Ricardo B Eversley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-675-3202 Fax: 903-677-5586
Perry A Rathbun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-1694
Burton Saucier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-675-3202
Mark Gregory Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 S Palestine St, Athens, TX 75751 Phone: 903-677-1000 Fax: 903-677-5586
Ms. Glory Kendi Gituma, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 510 E Clinton Ave, Athens, TX 75751 Phone: 903-675-1186

Lance R Fredrickson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Athens, TX