Stephanie L Frederickson, PT, DPT in Pleasant Prairie, WI

Stephanie L Frederickson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Pleasant Prairie, Wisconsin. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 12500 Aurora Dr, Pleasant Prairie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 857-5000.

Stephanie L Frederickson is licensed to practice in Wisconsin (license number 15158-24) 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 1053894378.

Contact Information

	Stephanie L Frederickson, PT, DPT
	12500 Aurora Dr, Pleasant Prairie, WI 53158-1227
	(262) 857-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie L Frederickson
Gender	Female
Speciality	Physical Therapy
Experience	4 Years
Location	12500 Aurora Dr, Pleasant Prairie, Wisconsin
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:

Stephanie L Frederickson graduated from medical school in 2020

NPI Data:

NPI Number: 1053894378
Provider Enumeration Date: 09/12/2018
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2567878309
Enrollment ID: I20210303000486

Medical Identifiers

Medical identifiers for Stephanie L Frederickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053894378	NPI	-	NPPES
100110868	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15158-24 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269

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. Stephanie L Frederickson allows following entities to bill medicare on her behalf.

Provider Name	Aurora Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Stephanie L 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
Stephanie L Frederickson, PT, DPT Po Box 735044, Chicago, IL 60673-5044 Ph: (262) 857-5000	Stephanie L Frederickson, PT, DPT 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (262) 857-5000

Reviews and Comments

Physical Therapist in Pleasant Prairie, WI

William J Lyon, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 Fax: 262-857-5001
Dr. Felice Kawka, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10330 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-612-2856
Mrs. Sumithra Rajendran, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-333-8158
Camille Marie Koch, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-333-8158
Zakkary A Perez,, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000
Dr. Michael James Mulroy, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000

Stephanie L Frederickson, PT, DPT - Medicare Physical Therapist in Pleasant Prairie, WI