Stacy Rose Frederick, APRN, FNP-BC - Medicare Nurse Practitioner in Lexington, KY

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Stacy Rose Frederick, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lexington, Kentucky. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Commonwealth Sleep And Rehab, Pllc, Beall Recovery Clinics and her current practice location is 2407 Members Way, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 278-4869.

Stacy Rose Frederick is licensed to practice in Kentucky (license number 3008265) 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 1104250893.

Contact Information

Stacy Rose Frederick, APRN, FNP-BC
2407 Members Way,
Lexington, KY 40504-3383
(859) 278-4869
(859) 278-7690

Map and Direction




Provider's Profile

Full NameStacy Rose Frederick
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location2407 Members Way, Lexington, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy Rose Frederick graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1104250893
  • Provider Enumeration Date: 08/29/2013
  • Last Update Date: 09/26/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6901030139
  • Enrollment ID: I20131001000614

Medical Identifiers

Medical identifiers for Stacy Rose Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104250893NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3008265 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Commonwealth Sleep And Rehab, Pllc10524022604
Beall Recovery Clinics20628459024

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. Stacy Rose Frederick allows following entities to bill medicare on her behalf.
Entity NameCommonwealth Sleep And Rehab, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164552642
PECOS PAC ID: 1052402260
Enrollment ID: O20070802000168
Entity NameBeall Recovery Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356997449
PECOS PAC ID: 2062845902
Enrollment ID: O20191205003050

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. Stacy Rose 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 AddressPractice Location Address
Stacy Rose Frederick, APRN, FNP-BC
2312 Alexandria Dr,
Lexington, KY 40504-3229

Ph: (859) 276-5344		Stacy Rose Frederick, APRN, FNP-BC
2407 Members Way,
Lexington, KY 40504-3383

Ph: (859) 278-4869

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.