Shatericka Campbell Frederick, CRNA in Greenville, SC - Medicare Certified Registered Nurse Anesthetist (crna)

Shatericka Campbell Frederick, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Greenville, South Carolina. She went to Medical University Of South Carolina College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Pelham Medical Center, Spartanburg Medical Center and her current practice location is 7 Independence Pt Ste 300, Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 522-3700.

Shatericka Campbell Frederick is licensed to practice in South Carolina (license number 22521) 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 1386117547.

Contact Information

	Shatericka Campbell Frederick, CRNA
	7 Independence Pt Ste 300, Greenville, SC 29615-4569
	(864) 522-3700
	(864) 522-3705

Map and Direction

Provider's Profile

Full Name	Shatericka Campbell Frederick
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	7 Independence Pt Ste 300, Greenville, South Carolina
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:

Shatericka Campbell Frederick attended and graduated from Medical University Of South Carolina College Of Medicine in 2018

NPI Data:

NPI Number: 1386117547
Provider Enumeration Date: 01/09/2019
Last Update Date: 02/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1052659695
Enrollment ID: I20190206003032

Medical Identifiers

Medical identifiers for Shatericka Campbell Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386117547	NPI	-	NPPES
AN2834	Medicaid	SC
Q62798	Other	SC	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	22521 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spartanburg Medical Center	Spartanburg, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pelham Medical Center	2365519097	137
Spartanburg Medical Center	3072425297	912

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. Shatericka Campbell Frederick allows following entities to bill medicare on her behalf.

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129

Entity Name	Anesthesiology Consultants Of The Upstate, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821002767 PECOS PAC ID: 1557265758 Enrollment ID: O20031120000288

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699729939 PECOS PAC ID: 3072425297 Enrollment ID: O20040702000686

Entity Name	Pelham Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962644773 PECOS PAC ID: 2365519097 Enrollment ID: O20090602000210

Entity Name	Prisma Health-upstate
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767

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. Shatericka Campbell Frederick 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
Shatericka Campbell Frederick, CRNA 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8614	Shatericka Campbell Frederick, CRNA 7 Independence Pt Ste 300, Greenville, SC 29615-4569 Ph: (864) 522-3700

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Greenville, SC

Paul Derek Street, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
Ashley Ann Alguire, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
Mr. J Ross Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705
George R Sweet, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Anesthesia Dept, Greenville, SC 29605 Phone: 864-455-7111
Jennifer Webb George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7111 Fax: 864-455-6441
Amanda Tipton Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-522-2286
Tyler Withrow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7000

Shatericka Campbell Frederick, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Greenville, SC