Mrs Brooke Leigh Fredrickson, LRD, CSG - Dietitian in Cooperstown, ND

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Mrs Brooke Leigh Fredrickson, LRD, CSG is a Dietitian, Registered based in Cooperstown, North Dakota. Mrs Brooke Leigh Fredrickson is licensed to practice in North Dakota (license number 669) and her current practice location is 1200 Roberts Ave Ne, Cooperstown, North Dakota. She can be reached at her office (for appointments etc.) via phone at (701) 797-2221.

NPI number for Mrs Brooke Leigh Fredrickson is 1053645317 and her current mailing address is 80 County Road 19, Cooperstown, North Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053645317.

Contact Information

Mrs Brooke Leigh Fredrickson, LRD, CSG
1200 Roberts Ave Ne,
Cooperstown, ND 58425-7101
(701) 797-2221
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Brooke Leigh Fredrickson
GenderFemale
SpecialityDietitian, Registered
Location1200 Roberts Ave Ne, Cooperstown, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053645317
  • Provider Enumeration Date: 09/18/2009
  • Last Update Date: 09/18/2009

Medical Identifiers

Medical identifiers for Mrs Brooke Leigh Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053645317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 669 (North Dakota)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 Brooke Leigh Fredrickson 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 AddressPractice Location Address
Mrs Brooke Leigh Fredrickson, LRD, CSG
80 County Road 19,
Cooperstown, ND 58425-9168

Ph: (701) 361-7154		Mrs Brooke Leigh Fredrickson, LRD, CSG
1200 Roberts Ave Ne,
Cooperstown, ND 58425-7101

Ph: (701) 797-2221

Reviews and Comments


Dietitian, Registered in Cooperstown, ND


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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