| Dr Renee Nicole Frederick, MD | |
|
5126 Hospital Dr Ne, Covington, GA 30014-2566 | |
| (770) 786-7053 | |
| Not Available |
| Full Name | Dr Renee Nicole Frederick |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 5126 Hospital Dr Ne, Covington, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497381503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-16074 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | 94602 (Georgia) | Primary |
| Entity Name | Mercy Hospital Waldron |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730137134 PECOS PAC ID: 5597658005 Enrollment ID: O20040211000825 |
| Entity Name | Mercy Hospital Ozark |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881642767 PECOS PAC ID: 3678467412 Enrollment ID: O20040211001144 |
| Entity Name | Mercy Hospital Ozark |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275504128 PECOS PAC ID: 3678467412 Enrollment ID: O20040428001328 |
| Entity Name | Mercy Hospital Waldron |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912978875 PECOS PAC ID: 5597658005 Enrollment ID: O20061104000294 |
| Entity Name | Mercy Hospital Paris |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760453633 PECOS PAC ID: 0244135705 Enrollment ID: O20061104000304 |
| Entity Name | Mercy Hospital Paris |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518915321 PECOS PAC ID: 0244135705 Enrollment ID: O20090402000673 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Mercy Hospital Booneville |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1992133714 PECOS PAC ID: 1951530385 Enrollment ID: O20140312001275 |
| Entity Name | Hospital Care Consultants Of Fordyce Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316497464 PECOS PAC ID: 5395024475 Enrollment ID: O20161112000042 |
| Entity Name | Ess Of Fordyce Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821547977 PECOS PAC ID: 1254611601 Enrollment ID: O20161201001070 |
| Entity Name | Mercy Hospital Booneville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083004733 PECOS PAC ID: 1951530385 Enrollment ID: O20170203001490 |
| Entity Name | Ies Hsp Arkansas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205559705 PECOS PAC ID: 7416327523 Enrollment ID: O20230106000943 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Renee Nicole Frederick, MD 5126 Hospital Dr Ne, Covington, GA 30014-2566 Ph: (770) 786-7053 | Dr Renee Nicole Frederick, MD 5126 Hospital Dr Ne, Covington, GA 30014-2566 Ph: (770) 786-7053 |
Anne Marie Lindsay-allen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5154 Cook St Ne, Covington, GA 30014 Phone: 770-788-1778 Fax: 770-788-1285 | |
Ms. Parisa Biazar, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9202 Highway 278 Ne, Covington, GA 30014 Phone: 678-342-8660 | |
Dr. Fabio Katureebe Banegura, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4124 Highway 278 Ne, Covington, GA 30014 Phone: 770-786-5000 | |
Dr. Matthew B Mote, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6175 Newton Dr Ne, Covington, GA 30014 Phone: 770-787-5600 | |
Darryel Alexander Wilson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 14779 Brown Bridge Rd, Covington, GA 30016 Phone: 770-788-7777 | |
Quincy Alvin Banks, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9202 Highway 278 Ne, Covington, GA 30014 Phone: 678-342-8660 | |
Vanessa Drummond Virgin, CFTS Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7151 Crestview Dr Se, Covington, GA 30014 Phone: 954-479-4958 Fax: 770-784-7233 |