| Daniel Anthony Frederick, MD | |
|
4316 James Casey St Ste B, Austin, TX 78745-1157 | |
| (855) 876-7246 | |
| (855) 277-5070 |
| Full Name | Daniel Anthony Frederick |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 27 Years |
| Location | 4316 James Casey St Ste B, Austin, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801973581 | NPI | - | NPPES |
| 1578155-04 | Medicaid | TX | |
| 8L29372 | Other | TX | TEXAS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | L6044 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Texas Pain Center, Pllc | 0547233207 | 28 |
| Entity Name | Central Texas Pain Center, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891792776 PECOS PAC ID: 0547233207 Enrollment ID: O20040819000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Anthony Frederick, MD Po Box 208357, Dallas, TX 75320-8354 Ph: (512) 485-7208 | Daniel Anthony Frederick, MD 4316 James Casey St Ste B, Austin, TX 78745-1157 Ph: (855) 876-7246 |
Dr. Genaro Jesus Gutierrez, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745 Phone: 855-876-7246 Fax: 855-277-5070 |
Dr. Bruce Richard Metcalf Iii, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 9010 Brodie Ln Unit 200, Austin, TX 78748 Phone: 512-994-4159 |
Derek A Fitzgerald, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 E 32nd St Ste 100-102, Austin, TX 78705 Phone: 210-374-2724 Fax: 210-874-8512 |
Paul H Le, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 W 38th St Ste D4, Austin, TX 78705 Phone: 512-244-4272 Fax: 512-244-2895 |