Stacy A Fredrickson, PT, DPT in Chesterton, IN - Medicare Physical Therapy Provider

Stacy A Fredrickson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Chesterton, Indiana. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Innovative Physical Therapy Llc and her current practice location is 748 E Porter Ave, Chesterton, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 255-1566.

Stacy A Fredrickson is licensed to practice in Indiana (license number 05010467A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285077941.

Contact Information

	Stacy A Fredrickson, PT, DPT
	748 E Porter Ave, Chesterton, IN 46304-9101
	(219) 255-1566
	(219) 215-6115

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy A Fredrickson
Gender	Female
Speciality	Physical Therapy
Experience	14 Years
Location	748 E Porter Ave, Chesterton, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacy A Fredrickson graduated from medical school in 2010

NPI Data:

NPI Number: 1285077941
Provider Enumeration Date: 04/12/2013
Last Update Date: 12/17/2019

Medicare PECOS Information:

PECOS PAC ID: 7113351826
Enrollment ID: I20200103001934

Medical Identifiers

Medical identifiers for Stacy A Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285077941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05010467A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovative Physical Therapy Llc	0941506406	8

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. Stacy A Fredrickson allows following entities to bill medicare on her behalf.

Provider Name	Accelerated Rehabilitation Centers Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040416000404

Provider Name	Innovative Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1578937447 PECOS PAC ID: 0941506406 Enrollment ID: O20160309000787

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. Stacy A Fredrickson 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
Stacy A Fredrickson, PT, DPT 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 576-6200	Stacy A Fredrickson, PT, DPT 748 E Porter Ave, Chesterton, IN 46304-9101 Ph: (219) 255-1566

Reviews and Comments

Physical Therapist in Chesterton, IN

Mrs. Victoria Jean Vinet, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Sand Creek Dr Ste C, Chesterton, IN 46304 Phone: 219-926-9779 Fax: 219-926-9889
Matthew David Radencic, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1595 S Calumet Rd, Chesterton, IN 46304 Phone: 844-896-0235 Fax: 219-898-4258
Samantha Higgins, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304 Phone: 219-921-1444 Fax: 219-926-6926
Lauren Evenson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd Ste 3, Chesterton, IN 46304 Phone: 219-983-9675
Jennifer Nicole Racette, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 751 E Porter Ave Ste 2, Chesterton, IN 46304 Phone: 219-926-5850 Fax: 219-250-2072
Amber N Eckert, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd, Chesterton, IN 46304 Phone: 219-983-9675
Laura Wassilak, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 S Calumet Rd, Suite 3, Chesterton, IN 46304 Phone: 219-983-9675 Fax: 219-983-9681

Stacy A Fredrickson, PT, DPT - Medicare Physical Therapist in Chesterton, IN