Victoria D Frederico, OTR/L is a medicare enrolled "Occupational Therapist" provider in Bonsall, California. Her current practice location is
31926 Via Ararat Dr, Bonsall, California. You can reach out to her office (for appointments etc.) via phone at
(585) 683-0408.
Victoria D Frederico is licensed to practice in California (license number 15499) 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 1023000940.
Healthcare Provider's Profile
Full Name | Victoria D Frederico |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 31926 Via Ararat Dr, Bonsall, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023000940
- Provider Enumeration Date: 08/17/2005
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820045198
- Enrollment ID: I20221006003550
Medical Identifiers
Medical identifiers for Victoria D Frederico such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023000940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 04615 (Ohio) | Secondary |
225X00000X | Occupational Therapist | 15499 (California) | Primary |
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. Victoria D Frederico allows following entities to bill medicare on her behalf.
Provider Name | Empower Mobile Physical Therapy Corporation |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1982292298 PECOS PAC ID: 2163836792 Enrollment ID: O20210122000711 |
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Provider Name | Hope Rising Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1003421249 PECOS PAC ID: 0345610382 Enrollment ID: O20230107000157 |
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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. Victoria D Frederico 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 |
Victoria D Frederico, OTR/L 31926 Via Ararat Dr, Bonsall, CA 92003-4340 Ph: (585) 683-0408 | Victoria D Frederico, OTR/L 31926 Via Ararat Dr, Bonsall, CA 92003-4340 Ph: (585) 683-0408 |
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