Jonathan Frederick, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Sheffield, Alabama. He went to Vanderbilt University School Of Medicine and graduated in 2006 and has 20 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Oral And Facial Surgery Of The Shoals, L.l.c. and his current practice location is
398 Ashe Blvd, Sheffield, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 383-1499.
Jonathan Frederick is licensed to practice in Alabama (license number AL28212) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1346397239.
Healthcare Provider's Profile
| Full Name | Jonathan Frederick |
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| Gender | Male |
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| Speciality | Oral Surgery |
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| Experience | 20 Years |
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| Location | 398 Ashe Blvd, Sheffield, Alabama |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jonathan Frederick attended and graduated from Vanderbilt University School Of Medicine in 2006
NPI Data:
- NPI Number: 1346397239
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 11/15/2011
Medicare PECOS Information:
- PECOS PAC ID: 4284764408
- Enrollment ID: I20100615000761
Medical Identifiers
Medical identifiers for Jonathan Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346397239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | AL5271 (Alabama) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | AL28212 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Oral And Facial Surgery Of The Shoals, L.l.c. | 9638199433 | 2 |
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. Jonathan Frederick allows following entities to bill medicare on his behalf.
| Entity Name | Ofs-shoals, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609649177 PECOS PAC ID: 4385166362 Enrollment ID: O20250319001978 |
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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. Jonathan Frederick 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 |
Jonathan Frederick, MD 398 Ashe Blvd, Sheffield, AL 35660-1729 Ph: (256) 383-1499 | Jonathan Frederick, MD 398 Ashe Blvd, Sheffield, AL 35660-1729 Ph: (256) 383-1499 |
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