Dr Caleb James Fredrickson, MD in Greenville, SC

Dr Caleb James Fredrickson, MD is a medicare enrolled "Emergency Medicine" physician in Greenville, South Carolina. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Washington University Community Specialists, Llc, Washington University and his current practice location is 701 Grove Rd, Dept Emergency Med, 4th Floor Support Tower, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 455-5198.

Dr Caleb James Fredrickson is licensed to practice in Missouri (license number 2023004726) 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 1114545217.

Contact Information

	Dr Caleb James Fredrickson, MD
	701 Grove Rd, Dept Emergency Med, 4th Floor Support Tower, Greenville, SC 29605
	(864) 455-5198
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Caleb James Fredrickson
Gender	Male
Speciality	Emergency Medicine
Experience	6 Years
Location	701 Grove Rd, Greenville, South Carolina
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:

Dr Caleb James Fredrickson attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2020

NPI Data:

NPI Number: 1114545217
Provider Enumeration Date: 07/06/2020
Last Update Date: 06/25/2026

Medicare PECOS Information:

PECOS PAC ID: 3072937424
Enrollment ID: I20240708001771

Medical Identifiers

Medical identifiers for Dr Caleb James Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114545217	NPI	-	NPPES
200085152	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	96769 (South Carolina)	Secondary
207P00000X	Emergency Medicine	2023004726 (Missouri)	Primary
207PT0002X	Emergency Medicine - Medical Toxicology	96769 (South Carolina)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christian Hospital Northeast	Saint louis, MO	Hospital
Barnes Jewish Hospital	Saint louis, MO	Hospital
Barnes-jewish West County Hospital	Creve coeur, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington University Community Specialists, Llc	8628588514	96
Washington University	9830008770	3047

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. Dr Caleb James Fredrickson allows following entities to bill medicare on his behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104866656 PECOS PAC ID: 9830008770 Enrollment ID: O20040205000494

Entity Name	Southeastern Emergency Physicians Of Memphis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434

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. Dr Caleb James Fredrickson 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
Dr Caleb James Fredrickson, MD 701 Grove Rd, Greenville, SC 29605-4210 Ph: (864) 455-5198	Dr Caleb James Fredrickson, MD 701 Grove Rd, Dept Emergency Med, 4th Floor Support Tower, Greenville, SC 29605 Ph: (864) 455-5198

Reviews and Comments

Emergency Medicine Doctors in Greenville, SC

Dr. Amber Gist Laney, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474
Dr. Brent Alexander Oldham, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474
Matthew Lewis Mullins, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474
Christopher Steven Vega, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-6371
Dr. Ronald Gerard Pirrallo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474
Dr. Frank J Ferlisi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7157
Dr. Kevin John Gregg, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Department Of Emergency Medicine, Greenville, SC 29605 Phone: 864-455-7157

Dr Caleb James Fredrickson, MD - Medicare Emergency Medicine in Greenville, SC