Dr Fredric Robert Rosenberg, MD is a medicare enrolled "Dermatology" physician in Lakewood, California. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1969 and has 55 years of diverse experience with area of expertise as Dermatology. 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 | Dermatology |
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| Experience | 55 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 Albert Einstein College Of Medicine Of Yeshiva University in 1969
NPI Data:
- NPI Number: 1295885630
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 10/12/2010
Medicare PECOS Information:
- PECOS PAC ID: 5193910024
- Enrollment ID: I20101117000481
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 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 Fredric Robert Rosenberg allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Dermatology Surgical And Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154407856
PECOS PAC ID: 5294779898
Enrollment ID: O20050614001443 |
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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 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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