David Jonathan Frederiks, MD is a medicare enrolled "Hospitalist" physician in New London, Connecticut. He went to Rutgers New Jersey Medical School and graduated in 1995 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hospital Medicine Associates Llc and his current practice location is
365 Montauk Ave, Room 4.512, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 442-0711.
David Jonathan Frederiks is licensed to practice in Connecticut (license number 036811) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225048168.
Physician's Profile
| Full Name | David Jonathan Frederiks |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 30 Years |
|---|
| Location | 365 Montauk Ave, New London, Connecticut |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- David Jonathan Frederiks attended and graduated from Rutgers New Jersey Medical School in 1995
NPI Data:
- NPI Number: 1225048168
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 06/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 6204823172
- Enrollment ID: I20040430000779
Medical Identifiers
Medical identifiers for David Jonathan Frederiks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225048168 | NPI | - | NPPES |
| 001368118 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | 036811 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Hospital Medicine Associates Llc | 9234156985 | 177 |
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. David Jonathan Frederiks allows following entities to bill medicare on his behalf.
| Entity Name | Lawrence And Memorial Hospital Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073530879 PECOS PAC ID: 5991792053 Enrollment ID: O20040429001142 |
|---|
| Entity Name | Ipc Hospitalists Of New England Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1821401761 PECOS PAC ID: 7618051442 Enrollment ID: O20091221000423 |
|---|
| Entity Name | Hospital Medicine Associates Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1093758781 PECOS PAC ID: 9234156985 Enrollment ID: O20170802002619 |
|---|
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. David Jonathan Frederiks 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 |
David Jonathan Frederiks, MD 365 Montauk Ave, Room 4.512, New London, CT 06320-4700 Ph: (860) 442-0711 | David Jonathan Frederiks, MD 365 Montauk Ave, Room 4.512, New London, CT 06320-4700 Ph: (860) 442-0711 |
Reviews and Comments