Dr Camilla June Frederick, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Davenport, Iowa. Her current practice location is
1820 W 3rd St, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at
(563) 322-2103.
Dr Camilla June Frederick is licensed to practice in Iowa (license number 26137) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457324865.
Physician's Profile
| Full Name | Dr Camilla June Frederick |
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| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 1820 W 3rd St, Davenport, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457324865
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 06/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 9638616436
- Enrollment ID: I20240729004226
Medical Identifiers
Medical identifiers for Dr Camilla June Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457324865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 26137 (Iowa) | Primary |
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 Camilla June Frederick allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Iowa Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164433884
PECOS PAC ID: 3870496417
Enrollment ID: O20040130000139 |
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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 Camilla June Frederick 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 |
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Dr Camilla June Frederick, MD
1820 W 3rd St,
Davenport, IA 52802-1812
Ph: (563) 421-3840 | Dr Camilla June Frederick, MD
1820 W 3rd St,
Davenport, IA 52802-1812
Ph: (563) 322-2103 |
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