Dr Fredric Robert Rosenberg, MD is a medicare enrolled "Dermatology" physician in Lakewood, California. His current practice location is
3650 E. South Street, #306, Lakewood, California. You can reach out to his office (for appointments etc.) via phone at
(310) 378-1915.
Dr Fredric Robert Rosenberg is licensed to practice in California (license number G21402) 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 1295885630.
Physician's Profile
| Full Name | Dr Fredric Robert Rosenberg |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3650 E. South Street, Lakewood, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Fredric Robert Rosenberg attended and graduated from in
NPI Data:
- NPI Number: 1295885630
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 10/12/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Fredric Robert Rosenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295885630 | NPI | - | NPPES |
| 4024334 | Other | CA | AETNA |
| 00G214020 | Medicaid | CA | |
| G21402 | Other | CA | STATE LICENSE |
| ZZZ12556Z | Other | CA | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | G21402 (California) | Primary |
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | G21402 (California) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | G21402 (California) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | G21402 (California) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | G21402 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | G21402 (California) | Secondary |
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 Fredric Robert Rosenberg 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 Fredric Robert Rosenberg, MD
3650 E. South Street, #306,
Lakewood, CA 90712
Ph: (310) 378-1915 | Dr Fredric Robert Rosenberg, MD
3650 E. South Street, #306,
Lakewood, CA 90712
Ph: (310) 378-1915 |
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