Annie Frederick, RDT in Spokane Valley, WA - Medicare Dietitian, Registered Provider

Annie Frederick, RDT is a medicare enrolled "Dietitian, Registered" provider in Spokane Valley, Washington. Her current practice location is 11703 E Sprague Ave Ste C3, Spokane Valley, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 921-6560.

Annie Frederick is licensed to practice in Washington (license number DI00000556) 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 1205093911.

Contact Information

	Annie Frederick, RDT
	11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206-6129
	(509) 921-6560
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Annie Frederick
Gender	Female
Speciality	Dietitian, Registered
Location	11703 E Sprague Ave Ste C3, Spokane Valley, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205093911
Provider Enumeration Date: 05/20/2008
Last Update Date: 05/20/2008

Medicare PECOS Information:

PECOS PAC ID: 2365890233
Enrollment ID: I20231204000619

Medical Identifiers

Medical identifiers for Annie Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205093911	NPI	-	NPPES
00719636	Other	WA	ADA NUMBER
DI00000556	Other	WA	WA CERTIFICATION NUMBER
8260051	Other	WA	PROVIDER NUMBER
9051731	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DI00000556 (Washington)	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. Annie Frederick allows following entities to bill medicare on her behalf.

Provider Name	Kalispel Indian Community Of The Kalispel Reservation Washington
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396937769 PECOS PAC ID: 1951498922 Enrollment ID: O20071107000736

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. Annie 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
Annie Frederick, RDT Po Box 1576, Newport, WA 99156-1576 Ph: (509) 921-6560	Annie Frederick, RDT 11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206-6129 Ph: (509) 921-6560

Reviews and Comments

Dietitian, Registered in Spokane Valley, WA

Dana Sitts, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206 Phone: 509-924-1826
Mrs. Erin Marie Kuh, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12929 E Sprague Ave, Suite 104, Spokane Valley, WA 99216 Phone: 509-496-9998 Fax: 509-891-2368
Briley Cariagain Peters, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15918 E Euclid Ave, Spokane Valley, WA 99216 Phone: 509-924-1826
Olivia Wooliver Jones, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15918 E Euclid Ave, Spokane Valley, WA 99216 Phone: 509-924-1826
Rebecca Renae Lonam, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 101 N Evergreen Rd, Spokane Valley, WA 99216 Phone: 509-228-3528
Keisha Engley, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1212 N Pines Rd, Spokane Valley, WA 99206 Phone: 509-893-8140 Fax: 509-227-7070
Simone R Pappalardo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15918 E Euclid Ave, Spokane Valley, WA 99216 Phone: 509-924-1826

Annie Frederick, RDT - Medicare Dietitian in Spokane Valley, WA