Dr Lisa Frederickson, OD in Kenai, AK - Medicare Optometrist Provider

Dr Lisa Frederickson, OD is a medicare enrolled "Optometrist" provider in Kenai, Alaska. Her current practice location is 508 Upland St, Kenai, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 335-7305.

Dr Lisa Frederickson is licensed to practice in Alaska (license number 199077) 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 1972696722.

Contact Information

	Dr Lisa Frederickson, OD
	508 Upland St, Kenai, AK 99611-8026
	(907) 335-7305
	(888) 491-3360

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Frederickson
Gender	Female
Speciality	Optometrist
Location	508 Upland St, Kenai, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972696722
Provider Enumeration Date: 10/02/2006
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5698098846
Enrollment ID: I20141219001758

Medical Identifiers

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

Identifier	Type	State	Issuer
1972696722	NPI	-	NPPES
2030FR	Other	WA	REGENCE
510445794	Other	WA	TRIWEST
WA-0928	Other	WA	NBN
49034	Other	WA	DAVIS
1733721	Medicaid	AK
19068	Other	WA	SPECTERA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3574-TX (Washington)	Secondary
152W00000X	Optometrist	199077 (Alaska)	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. Dr Lisa Frederickson allows following entities to bill medicare on her behalf.

Provider Name	Spanaway Eyecare Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346574290 PECOS PAC ID: 4789907932 Enrollment ID: O20141219001725

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 Lisa 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 Lisa Frederickson, OD Po Box 2409, Kenai, AK 99611-2409 Ph: (253) 324-8764	Dr Lisa Frederickson, OD 508 Upland St, Kenai, AK 99611-8026 Ph: (907) 335-7305

Reviews and Comments

Optometrist in Kenai, AK

Dr. Christopher Allen Charlton, OD Optometrist Medicare: Medicare Enrolled Practice Location: 110 S Willow St Ste 108, Kenai, AK 99611 Phone: 907-802-6468
Dr. Robert D O'connell, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 S Willow St, Unit #108, Kenai, AK 99611 Phone: 907-283-7575 Fax: 907-283-6156
Kenai Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 S Willow St Ste 108, Kenai, AK 99611 Phone: 907-283-7575 Fax: 907-283-6156
Kenai Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 110 S Willow St Ste 108, Kenai, AK 99611 Phone: 907-283-7575 Fax: 907-283-6156
Yennhi Tran, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 S Willow St Ste 108, Kenai, AK 99611 Phone: 907-802-6468
Dr. David Karpik, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 S Willow St Ste 108, Kenai, AK 99611 Phone: 907-283-7575 Fax: 907-283-6156
Dr. Dennis A Swarner, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 S Willow St, Unit #108, Kenai, AK 99611 Phone: 907-283-7575 Fax: 907-283-6156

Dr Lisa Frederickson, OD - Medicare Optometrist in Kenai, AK