Dr Marc Frederiksen, OD | |
1800 Plover Rd, Plover, WI 54467-3978 | |
(715) 342-9634 | |
(715) 342-9244 |
Full Name | Dr Marc Frederiksen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 25 Years |
Location | 1800 Plover Rd, Plover, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770534554 | NPI | - | NPPES |
38607300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2769-035 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shoptikal Llc | 1456684471 | 169 |
Provider Name | Shoptikal Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553 |
Mailing Address | Practice Location Address |
---|---|
Dr Marc Frederiksen, OD 2641 Golden Rd, Plover, WI 54467-2576 Ph: () - | Dr Marc Frederiksen, OD 1800 Plover Rd, Plover, WI 54467-3978 Ph: (715) 342-9634 |
Colleen Hennelly, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3601 Page Dr, # 4, Plover, WI 54467 Phone: 773-350-1085 | |
Larry Woods, Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2801 Willow Dr, Plover, WI 54467 Phone: 715-341-5151 | |
Dr. Larry J. Woods, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2801 Willow Dr, Plover, WI 54467 Phone: 715-341-5151 Fax: 715-341-1016 | |
Dr. Andrew Lee Rust, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 Crossroads Dr, Plover, WI 54467 Phone: 715-345-9588 |