Dr John Frederick, MD is a medicare enrolled "Hospitalist" physician in Dyer, Indiana. His current practice location is
24 Joliet St, Dyer, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 865-2141.
Dr John Frederick is licensed to practice in Indiana (license number 01076100A) 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 1598027153.
Physician's Profile
| Full Name | Dr John Frederick |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 24 Joliet St, Dyer, Indiana |
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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 John Frederick attended and graduated from in
NPI Data:
- NPI Number: 1598027153
- Provider Enumeration Date: 06/11/2012
- Last Update Date: 03/19/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr John Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598027153 | NPI | - | NPPES |
| 201338270 | Medicaid | IN | |
| F400244803 | Other | IL | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 01076100A (Indiana) | Secondary |
| 207R00000X | Internal Medicine | 036138817 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | 01076100A (Indiana) | Primary |
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 John 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 |
|---|
Dr John Frederick, MD
Po Box 781076,
Detroit, MI 48278-1076
Ph: (317) 528-4800 | Dr John Frederick, MD
24 Joliet St,
Dyer, IN 46311-1705
Ph: (219) 865-2141 |
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