Tonya Frederick, RN, FNP in Fort Worth, TX - Medicare Nurse Practitioner

Tonya Frederick, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 855 Montgomery St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 735-2228.

Tonya Frederick is licensed to practice in Texas (license number 1118906) 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 1619451697.

Contact Information

	Tonya Frederick, RN, FNP
	855 Montgomery St, Fort Worth, TX 76107-2553
	(817) 735-2228
	(817) 735-2582

Map and Direction

Provider's Profile

Full Name	Tonya Frederick
Gender	Female
Speciality	Nurse Practitioner - Family
Location	855 Montgomery St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619451697
Provider Enumeration Date: 09/17/2018
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 8820428212
Enrollment ID: I20210219002546

Medical Identifiers

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

Identifier	Type	State	Issuer
1619451697	NPI	-	NPPES
1118906	Other	TX	CERTIFIED NURSE PRACTITIONER
202100811RN	Other	OR	RN LICENSE
1118906	Other	TX	REGISTERED NURSE
202100983NP-PP	Other	OR	FNP/PRESRIBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1118906 (Texas)	Primary
363LF0000X	Nurse Practitioner - Family	202100983NP-PP (Oregon)	Secondary
163W00000X	Registered Nurse	202100811RN (Oregon)	Secondary
163W00000X	Registered Nurse	1118906 (Texas)	Secondary

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. Tonya Frederick allows following entities to bill medicare on her behalf.

Entity Name	Columbia Lutheran Charities
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20021217000028

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. Tonya 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
Tonya Frederick, RN, FNP Po Box 99335, Fort Worth, TX 76199-0335 Ph: (817) 735-2228	Tonya Frederick, RN, FNP 855 Montgomery St, Fort Worth, TX 76107-2553 Ph: (817) 735-2228

Reviews and Comments

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Tonya Frederick, RN, FNP - Medicare Nurse Practitioner in Fort Worth, TX