Ms Roberta Marie Frederick, LVN is a
Licensed Practical Nurse based in Tulare, California. Ms Roberta Marie Frederick is licensed to practice in California (license number VN226782) and her current practice location is
1944 Academy Ave, Tulare, California. She can be reached at her office (for appointments etc.) via phone at
(559) 300-8557.
NPI number for Ms Roberta Marie Frederick is 1255681433 and her current mailing address is 1944 Academy Ave, Tulare, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255681433.
Provider's Profile
Full Name | Ms Roberta Marie Frederick |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1944 Academy Ave, Tulare, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255681433
- Provider Enumeration Date: 09/14/2012
- Last Update Date: 09/14/2012
Medical Identifiers
Medical identifiers for Ms Roberta Marie Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255681433 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | VN226782 (California) | Primary |
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. Ms Roberta Marie Frederick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Roberta Marie Frederick, LVN 1944 Academy Ave, Tulare, CA 93274-3187 Ph: (559) 300-8557 | Ms Roberta Marie Frederick, LVN 1944 Academy Ave, Tulare, CA 93274-3187 Ph: (559) 300-8557 |
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