| Kelsey Frederick, | |
|
2121 W Division St, Chicago, IL 60622-2948 | |
| (773) 669-7737 | |
| Not Available |
| Full Name | Kelsey Frederick |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 11 Years |
| Location | 2121 W Division St, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073927562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046010809 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairway Eye Center Inc | 9234101361 | 5 |
| Fairway Eye Center Inc | 9234101361 | 5 |
| Provider Name | Fairway Eye Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194906461 PECOS PAC ID: 9234101361 Enrollment ID: O20050721001118 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Frederick, 2121 W Division St, Chicago, IL 60622-2948 Ph: (773) 669-7737 | Kelsey Frederick, 2121 W Division St, Chicago, IL 60622-2948 Ph: (773) 669-7737 |
Primary Eye Care Associates Optometrist Medicare: Medicare Enrolled Practice Location: 5460 S Archer Ave, Chicago, IL 60638 Phone: 773-735-6090 Fax: 773-581-0320 | |
Dr. Mary Gouris, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 225 N Michigan Ave, Chicago, IL 60601 Phone: 312-819-0199 | |
Aneta Anna Stoch, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3457 W 111th St, Chicago, IL 60655 Phone: 773-253-2175 | |
Solo Eye Care Printers Row, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 555 S Dearborn St, Chicago, IL 60605 Phone: 312-588-5999 Fax: 312-225-5309 | |
Dr. Thomas W Goska, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3627 N Western Ave, Chicago, IL 60618 Phone: 773-525-2022 Fax: 773-525-2024 | |
Dr. James Gerard Roth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6857 S Pulaski Rd, Chicago, IL 60629 Phone: 773-767-5000 Fax: 773-767-5176 | |
Dr. David D Dewaard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1056 W Wilson Ave, Chicago, IL 60640 Phone: 773-271-5774 |