| Dr Caleb James Fredrickson, MD | |
|
701 Grove Rd Fl 1, Greenville, SC 29605-4210 | |
| (864) 455-7899 | |
| (864) 455-5474 |
| Full Name | Dr Caleb James Fredrickson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 701 Grove Rd Fl 1, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114545217 | NPI | - | NPPES |
| 200085152 | Medicaid | MO |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christian Hospital Northeast-northwest | Saint louis, MO | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington University Community Specialists Llc | 8628588514 | 94 |
| Washington University | 9830008770 | 2968 |
| 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 |
| Entity Name | Washington University Community Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922812254 PECOS PAC ID: 8628588514 Enrollment ID: O20250610001955 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Caleb James Fredrickson, MD 300 E Mcbee Ave Ste 300, Greenville, SC 29601-2899 Ph: (864) 522-8603 | Dr Caleb James Fredrickson, MD 701 Grove Rd Fl 1, Greenville, SC 29605-4210 Ph: (864) 455-7899 |
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 |