Tracey Frederick, APRN | |
3602 Northgate Ct Ste 39, New Albany, IN 47150-6417 | |
(812) 670-5684 | |
(812) 941-0814 |
Full Name | Tracey Frederick |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 3602 Northgate Ct Ste 39, New Albany, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568012896 | NPI | - | NPPES |
7247386 | Other | UNITED HEALTHCARE PROVIDER ID NUMBER | |
7100625390 | Medicaid | KY | |
PDZ000000382486 | Other | KY | AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER |
2061379 | Other | KY | WELLCARE OF KY PROVIDER ID NUMBER |
300030681 | Medicaid | IN | |
CS2003600170 | Other | CARESOURCE PROVIDER ID NUMBER | |
000001318458 | Other | ANTHEM PROVIDER ID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3013585 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Commonwealth Pain Associates Pllc | 0941441919 | 112 |
Commonwealth Pain Associates Pllc | 0941441919 | 112 |
Entity Name | Commonwealth Pain Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577 |
Mailing Address | Practice Location Address |
---|---|
Tracey Frederick, APRN Po Box 21890, Belfast, ME 04915-4115 Ph: (502) 907-0356 | Tracey Frederick, APRN 3602 Northgate Ct Ste 39, New Albany, IN 47150-6417 Ph: (812) 670-5684 |
Mr. David Melvin Whittaker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1919 State St Ste 364, New Albany, IN 47150 Phone: 812-949-4767 Fax: 812-948-4338 | |
Sarah E Carpenter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2109 Green Valley Rd, New Albany, IN 47150 Phone: 812-948-2232 Fax: 812-945-0869 | |
Alexandra Hardin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1950 State St, New Albany, IN 47150 Phone: 812-948-8305 | |
Mrs. Christy Rae Crawley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 906 Silver St, New Albany, IN 47150 Phone: 502-931-2565 | |
Michelle N. Bingham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 State St, New Albany, IN 47150 Phone: 812-944-7701 Fax: 812-981-6505 | |
Angela M Gallahar, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1950 State St, New Albany, IN 47150 Phone: 812-948-8305 | |
Ms. Rachel Elizabeth Gould, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2630 Grant Line Rd, New Albany, IN 47150 Phone: 812-945-0145 |