| Dr Nathan P Fredrick, DO | |
|
300 Singleton Ridge Rd, Conway, SC 29526-9142 | |
| (843) 347-8015 | |
| (843) 347-8017 |
| Full Name | Dr Nathan P Fredrick |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 300 Singleton Ridge Rd, Conway, South Carolina |
| 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 |
|---|---|---|---|
| 1871525907 | NPI | - | NPPES |
| 020051649 | Other | MEDICARE RAILROAD | |
| 0361220182 | Medicaid | IL | |
| T00391 | Medicaid | SC | |
| P00679662 | Other | RAILROAD MCARE | |
| P00936457 | Other | IL | RRMCARE THRU CESIISC (GES) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 637 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Proctor Hospital | Peoria, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Epss Peoria Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831421056 PECOS PAC ID: 1850587007 Enrollment ID: O20101130000569 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265966048 PECOS PAC ID: 1355259714 Enrollment ID: O20170828003194 |
| Entity Name | Epss Llc - Central Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538680467 PECOS PAC ID: 6204192016 Enrollment ID: O20171110002604 |
| Entity Name | Epss, Llc- Metro Series |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782305 PECOS PAC ID: 6608266713 Enrollment ID: O20211203002440 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathan P Fredrick, DO Po Box 829, Conway, SC 29528-0829 Ph: (843) 347-8015 | Dr Nathan P Fredrick, DO 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: (843) 347-8015 |
Dr. Allen E Smolenski, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 Fax: 843-347-8017 | |
Dr. Mark S Jeanjaquet, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 Fax: 843-347-8017 | |
Jorge Luis Infante, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 | |
Dr. Shyamal Patel, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8134 | |
Dr. John Allen Rogowski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8015 Fax: 843-347-8017 | |
Amanda S Battisti, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-8037 Fax: 843-347-8056 |