Ma Theresa Corpuz Fredrickson, DNP, AGPCNP-BC in La Crosse, WI

Ma Theresa Corpuz Fredrickson, DNP, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in La Crosse, Wisconsin. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F, Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis and her current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 782-7300.

Ma Theresa Corpuz Fredrickson is licensed to practice in Wisconsin (license number 11200-33) 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 1760157234.

Contact Information

	Ma Theresa Corpuz Fredrickson, DNP, AGPCNP-BC
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Ma Theresa Corpuz Fredrickson
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1836 South Ave, La Crosse, Wisconsin
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:

Ma Theresa Corpuz Fredrickson graduated from nursing school in 2021

NPI Data:

NPI Number: 1760157234
Provider Enumeration Date: 08/16/2021
Last Update Date: 07/31/2024

Medicare PECOS Information:

PECOS PAC ID: 1557769023
Enrollment ID: I20211013003248

Medical Identifiers

Medical identifiers for Ma Theresa Corpuz Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760157234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	11200-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sacred Heart Hospital	Eau claire, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F	3870488596	15
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis	8729072418	95

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. Ma Theresa Corpuz Fredrickson allows following entities to bill medicare on her behalf.

Entity Name	St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St F
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164429908 PECOS PAC ID: 3870488596 Enrollment ID: O20040220000036

Entity Name	Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336381839 PECOS PAC ID: 8729072418 Enrollment ID: O20040923000920

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. Ma Theresa Corpuz 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
Ma Theresa Corpuz Fredrickson, DNP, AGPCNP-BC 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Ma Theresa Corpuz Fredrickson, DNP, AGPCNP-BC 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Nurse Practitioner Nurses in La Crosse, WI

Stacie Strong, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 State Rd # 33, La Crosse, WI 54601 Phone: 608-775-5858
Julie Sonsalla, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Naomi Muthoni Ruiru, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Catherine A Ziegler, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Lisa Malmo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940
Tneshia Janeen Sweat, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Kathleen Marie Grangaard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940

Ma Theresa Corpuz Fredrickson, DNP, AGPCNP-BC - Medicare Nurse Practitioner in La Crosse, WI