| Dr Fred Wayne Frankenberg Ii, MD | |
|
101 Dates Dr, Ithaca, NY 14850-1342 | |
| (607) 274-4011 | |
| (607) 274-4198 |
| Full Name | Dr Fred Wayne Frankenberg Ii |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 29 Years |
| Location | 101 Dates Dr, Ithaca, New York |
| 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 |
|---|---|---|---|
| 1669436911 | NPI | - | NPPES |
| 003212153A | Medicaid | GA | |
| 266291400 | Medicaid | FL | |
| 364516922 | Other | FL | TAX IDENTIFICATION |
| ME86861 | Other | FL | STATE MEDICAL LICENSE |
| 57648 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 81752 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 267226 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cooperative Healthcare Services, Inc. | 9830093640 | 199 |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fred Wayne Frankenberg Ii, MD 101 Dates Dr, Ithaca, NY 14850-1342 Ph: (607) 274-4011 | Dr Fred Wayne Frankenberg Ii, MD 101 Dates Dr, Ithaca, NY 14850-1342 Ph: (607) 274-4011 |
Dr. Manish Thakur, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 | |
Jarred Johnson, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-277-2365 Fax: 607-277-0104 | |
Dr. Candice M Oliver, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Hospitalist Office, Ithaca, NY 14850 Phone: 607-274-4296 Fax: 607-274-4198 |