| David Jonathan Frederiks, MD | |
|
365 Montauk Ave, Room 4.512, New London, CT 06320-4700 | |
| (860) 442-0711 | |
| (860) 444-5144 |
| Full Name | David Jonathan Frederiks |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225048168 | NPI | - | NPPES |
| 001368118 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036811 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Westerly Hospital | Westerly, RI | Hospital |
| William W Backus Hospital | Norwich, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Medicine Associates Llc | 9234156985 | 205 |
| 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 |
| 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 |
Dr. Fung Adam Yeung, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 |