Dr Bradley Alan Frederickson, OD in Federal Way, WA

Dr Bradley Alan Frederickson, OD is a medicare enrolled "Optometrist" provider in Federal Way, Washington. He went to Pacific University - College Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Evergreen Eye Center Pllc and his current practice location is 34719 6th Ave S, Federal Way, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 212-2100.

Dr Bradley Alan Frederickson is licensed to practice in Washington (license number OD00003074) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174631899.

Contact Information

	Dr Bradley Alan Frederickson, OD
	34719 6th Ave S, Federal Way, WA 98003-8714
	(206) 212-2100
	(206) 212-2194

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bradley Alan Frederickson
Gender	Male
Speciality	Optometry
Experience	35 Years
Location	34719 6th Ave S, Federal Way, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Bradley Alan Frederickson attended and graduated from Pacific University - College Of Optometry in 1989

NPI Data:

NPI Number: 1174631899
Provider Enumeration Date: 08/25/2006
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6608038013
Enrollment ID: I20120501000708

Medical Identifiers

Medical identifiers for Dr Bradley Alan Frederickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174631899	NPI	-	NPPES
0870427	Other	WA	AETNA GROUP PROVIDER NUMB
91162803298116A005	Other	WA	TRICARE & WPS BURIEN #
2017242	Medicaid	WA
2187FR	Other	WA	REGENCE BURIEN RYDER #
FR5328	Other	WA	REGENCE AUBURN RYDER #
59460	Other	WA	L&I GROUP NUMBER
891451	Other	WA	CRIME VICTIMS GROUP NUMBE
911628032	Other	WA	BLUE CROSS BILLING ID #
91162803298002A003	Other	WA	TRICARE & WPS AUBURN #
FR8712	Other	WA	REGENCE FEDERAL WAY RYDER
2017259	Medicaid	WA
410028421	Other	WA	RAILROAD MEDICARE NUMBER
91162803298003A003	Other	WA	TRICARE & WPS FEDERAL WAY
59461	Other	WA	L & I INDIVIDUAL NUMBER
EV8144	Other	WA	REGENCE GROUP EEC #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OD00003074 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evergreen Eye Center Pllc	3173410057	12

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. Dr Bradley Alan Frederickson allows following entities to bill medicare on his behalf.

Provider Name	Evergreen Eye Center Pllc
Provider Type	Part B Supplier - Ambulatory Surgical Center
Provider Identifiers	NPI Number: 1821167479 PECOS PAC ID: 3173410057 Enrollment ID: O20040304000105

Provider Name	Evergreen Eye Center Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700959293 PECOS PAC ID: 3173410057 Enrollment ID: O20040304001193

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. Dr Bradley Alan Frederickson 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
Dr Bradley Alan Frederickson, OD 34719 6th Ave S, Federal Way, WA 98003-8714 Ph: (206) 212-2100	Dr Bradley Alan Frederickson, OD 34719 6th Ave S, Federal Way, WA 98003-8714 Ph: (206) 212-2100

Reviews and Comments

Optometrist in Federal Way, WA

Brent Chin Od Inc Ps Optometrist Medicare: Medicare Enrolled Practice Location: 32717 1st Ave S, Ste.6, Federal Way, WA 98003 Phone: 253-838-5428 Fax: 253-838-0875
Jeff Hsiao, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 32717 1st Ave S, Suite 6, Federal Way, WA 98003 Phone: 253-838-5428 Fax: 253-838-0875
Westview Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 31625 Pacific Hwy S Ste E1, Federal Way, WA 98003 Phone: 503-481-4775
Tapuwa Chikwinya, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7958
Mckenzie Suzanne Fogarty, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34719 6th Ave S, Federal Way, WA 98003 Phone: 206-260-2503 Fax: 855-929-1515
David C. Caton, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7000
Northwest Vision And Learning Center Optometrist Medicare: Medicare Enrolled Practice Location: 1705 South 324th Place, Federal Way, WA 98003 Phone: 253-661-6005

Dr Bradley Alan Frederickson, OD - Medicare Optometrist in Federal Way, WA