| Dr Lori Ann Fredrick, MD | |
|
2601 Kelley Pointe Pkwy, Ste. 101, Edmond, OK 73013-2995 | |
| (405) 844-2601 | |
| (405) 844-2610 |
| Full Name | Dr Lori Ann Fredrick |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 2601 Kelley Pointe Pkwy, Edmond, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225243207 | NPI | - | NPPES |
| 1225243207 | Other | OK | NPI |
| 800522205 | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 23964 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| O U Medical Center | Oklahoma city, OK | Hospital |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Community Hospital, Llc | Oklahoma city, OK | Hospital |
| Oklahoma Heart Hospital, Llc | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ou Health Partners Inc | 5991105876 | 949 |
| Entity Name | Board Of Regents Of The University Of Oklahoma - Ou Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801869250 PECOS PAC ID: 2860304334 Enrollment ID: O20031103000607 |
| Entity Name | Lakeside Women's Hospital, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639170699 PECOS PAC ID: 7719888965 Enrollment ID: O20040120000317 |
| Entity Name | Ou Health Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528642642 PECOS PAC ID: 5991105876 Enrollment ID: O20210615000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lori Ann Fredrick, MD 2601 Kelley Pointe Pkwy, Ste. 101, Edmond, OK 73013-2995 Ph: (405) 844-2601 | Dr Lori Ann Fredrick, MD 2601 Kelley Pointe Pkwy, Ste. 101, Edmond, OK 73013-2995 Ph: (405) 844-2601 |
Laurie J Hast, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1208 Blue Wister Cv, Edmond, OK 73013 Phone: 405-255-4519 | |
Donald Wayne Nix, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 902 S Bryant Ave, Edmond, OK 73034 Phone: 405-348-1900 Fax: 405-348-0423 | |
James Delbert Crooks, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 902 S Bryant Ave, Edmond, OK 73034 Phone: 405-348-1900 Fax: 405-348-0423 | |
Robin E Acker, MD Radiology Medicare: Medicare Enrolled Practice Location: 1849 Fairmont Ln, Edmond, OK 73013 Phone: 405-659-4120 | |
James Keith Cooper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3509 French Park Dr, Ste E, Edmond, OK 73034 Phone: 405-285-6901 Fax: 405-285-6902 | |
Rodney Alen Kernes, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 432 Pacific Crest Trl, Edmond, OK 73003 Phone: 952-595-1100 Fax: 612-294-4903 |