Kaylee Nadine Frederickson, SLP in Burnsville, MN - Medicare Speech-Language Pathologist Provider

Kaylee Nadine Frederickson, SLP is a medicare enrolled "Speech-language Pathologist" provider in Burnsville, Minnesota. Her current practice location is 14451 Grand Ave S, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-5900.

Kaylee Nadine Frederickson is licensed to practice in Minnesota (license number 10310) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639717986.

Contact Information

	Kaylee Nadine Frederickson, SLP
	14451 Grand Ave S, Burnsville, MN 55306
	(952) 993-5900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kaylee Nadine Frederickson
Gender	Female
Speciality	Speech-language Pathologist
Location	14451 Grand Ave S, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639717986
Provider Enumeration Date: 12/17/2019
Last Update Date: 01/06/2020

Medicare PECOS Information:

PECOS PAC ID: 1254766561
Enrollment ID: I20200115000166

Medical Identifiers

Medical identifiers for Kaylee Nadine Frederickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639717986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	10310 (Minnesota)	Primary

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. Kaylee Nadine Frederickson allows following entities to bill medicare on her behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Kaylee Nadine 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
Kaylee Nadine Frederickson, SLP 3440 Dupont Ave S Apt 204, Minneapolis, MN 55408-4069 Ph: (920) 257-9647	Kaylee Nadine Frederickson, SLP 14451 Grand Ave S, Burnsville, MN 55306 Ph: (952) 993-5900

Reviews and Comments

Speech-Language Pathologist in Burnsville, MN

Debra Cyd Jensen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cobblestone Ln, Courage Burnsville, Burnsville, MN 55337 Phone: 952-898-5700 Fax: 952-898-5757
Eleanor Sullivan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12400 Portland Ave Ste 140, Burnsville, MN 55337 Phone: 952-746-0222
Chandra Jo Bushard, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cobblestone Lane, Courage Burnsville, Burnsville, MN 55306 Phone: 952-898-5700 Fax: 952-898-5757
Katherine Marie Sloan, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14050 Nicollet Ave, Burnsville, MN 55337 Phone: 952-993-6800
Carrie Ann Erion, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12400 Portland Ave Ste 140, Burnsville, MN 55337 Phone: 952-898-5700 Fax: 952-898-5757
Laura Emily Thorne, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 E Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-2121
Danielle Marie Faust, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Cobblestone Lane, Courage Burnsville, Burnsville, MN 55337 Phone: 952-898-5700 Fax: 952-898-5757

Kaylee Nadine Frederickson, SLP - Medicare Speech-Language Pathologist in Burnsville, MN