Mrs Jan Elizabeth Frederick, OT, LAC is a
Occupational Therapist - Pediatrics based in Butte, Montana. Mrs Jan Elizabeth Frederick is licensed to practice in Montana (license number 887) and her current practice location is
1730 Gaylord St, Butte, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 560-3497.
NPI number for Mrs Jan Elizabeth Frederick is 1982766713 and her current mailing address is 1730 Gaylord St, Butte, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982766713.
Healthcare Provider's Profile
| Full Name | Mrs Jan Elizabeth Frederick |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist - Pediatrics |
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| Location | 1730 Gaylord St, Butte, Montana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982766713
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mrs Jan Elizabeth Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982766713 | NPI | - | NPPES |
| 887 | Other | MT | OCCUPATIONAL THERAPIST |
| 0037245 | Medicaid | MT | |
| 1067 | Other | MT | ADDICTION COUNSELOR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1067 (Montana) | Primary |
| 225XP0200X | Occupational Therapist - Pediatrics | 887 (Montana) | Primary |
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. Mrs Jan Elizabeth Frederick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jan Elizabeth Frederick, OT, LAC
1730 Gaylord St,
Butte, MT 59701-5398
Ph: (406) 560-3497 | Mrs Jan Elizabeth Frederick, OT, LAC
1730 Gaylord St,
Butte, MT 59701-5398
Ph: (406) 560-3497 |
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