Gary W Fredericksen, OD - Medicare Optometrist in Williamsburg, VA

Gary W Fredericksen, OD is a medicare enrolled "Optometrist" provider in Williamsburg, Virginia. He went to New England College Of Optometry and graduated in 1981 and has 43 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Riverside Physician Services Inc and his current practice location is 120 Kings Way, Suite 1300, Williamsburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 345-3001.

Gary W Fredericksen is licensed to practice in Virginia (license number 0618000905) 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 1629035225.

Contact Information

Gary W Fredericksen, OD
120 Kings Way, Suite 1300,
Williamsburg, VA 23185-2505
(757) 345-3001
(757) 345-3102

Map and Direction




Healthcare Provider's Profile

Full NameGary W Fredericksen
GenderMale
SpecialityOptometry
Experience43 Years
Location120 Kings Way, Williamsburg, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gary W Fredericksen attended and graduated from New England College Of Optometry in 1981
  NPI Data:
  • NPI Number: 1629035225
  • Provider Enumeration Date: 04/27/2006
  • Last Update Date: 11/27/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0840202487
  • Enrollment ID: I20060622000116

Medical Identifiers

Medical identifiers for Gary W Fredericksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629035225NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0618000905 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Riverside Physician Services Inc5092608448738

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. Gary W Fredericksen allows following entities to bill medicare on his behalf.
Provider NameRiverside Physician Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1194929026
PECOS PAC ID: 5092608448
Enrollment ID: O20040207000400

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. Gary W Fredericksen 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 AddressPractice Location Address
Gary W Fredericksen, OD
856 J Clyde Morris Blvd, Suite A,
Newport News, VA 23601-1318

Ph: () -
Gary W Fredericksen, OD
120 Kings Way, Suite 1300,
Williamsburg, VA 23185-2505

Ph: (757) 345-3001

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.