Mrs Katie Lee Frederickson, FNP-BC in Camarillo, CA

Mrs Katie Lee Frederickson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Camarillo, California. Her current practice location is 2438 N Ponderosa Dr, C-105, Camarillo, California. You can reach out to her office (for appointments etc.) via phone at (805) 388-2068.

Mrs Katie Lee Frederickson is licensed to practice in California (license number NP95000513) 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 1104237544.

Contact Information

	Mrs Katie Lee Frederickson, FNP-BC
	2438 N Ponderosa Dr, C-105, Camarillo, CA 93010-2369
	(805) 388-2068
	(805) 484-7700

Map and Direction

Provider's Profile

Full Name	Mrs Katie Lee Frederickson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2438 N Ponderosa Dr, Camarillo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104237544
Provider Enumeration Date: 05/19/2014
Last Update Date: 05/19/2014

Medicare PECOS Information:

PECOS PAC ID: 2466672423
Enrollment ID: I20170920002999

Medical Identifiers

Medical identifiers for Mrs Katie Lee Frederickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104237544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95000513 (California)	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. Mrs Katie Lee Frederickson allows following entities to bill medicare on her behalf.

Entity Name	Christina G Steil Dermatology Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437404951 PECOS PAC ID: 5294974937 Enrollment ID: O20130610000592

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. Mrs Katie Lee Frederickson 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
Mrs Katie Lee Frederickson, FNP-BC 2438 N Ponderosa Dr, C-105, Camarillo, CA 93010-2369 Ph: (805) 388-2068	Mrs Katie Lee Frederickson, FNP-BC 2438 N Ponderosa Dr, C-105, Camarillo, CA 93010-2369 Ph: (805) 388-2068

Reviews and Comments

Nurse Practitioner Nurses in Camarillo, CA

Mrs. Brenda Kim Means, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3801 Las Posas Rd Ste 106, Camarillo, CA 93010 Phone: 805-477-2310
Christina Velasco, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2486 N Ponderosa Dr, Ste D114, Camarillo, CA 93010 Phone: 866-389-2727
Mrs. Marci Jane Spruill, MSN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1722 S Lewis Rd, Camarillo, CA 93012 Phone: 805-445-7837 Fax: 805-445-7830
Ms. Cynthia Marie Fiacco, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5051 Verdugo Way, Suite 110, Camarillo, CA 93012 Phone: 805-384-8071 Fax: 805-987-1927
Carolyn Peyton Wickersham, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Daily Dr Ste 110, Camarillo, CA 93010 Phone: 805-385-9460
Christina C Perez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2620 Las Posas Rd, Camarillo, CA 93010 Phone: 805-889-3188

Mrs Katie Lee Frederickson, FNP-BC - Medicare Nurse Practitioner in Camarillo, CA