Dr Robert W Frederick, MD in Longview, TX

Dr Robert W Frederick, MD is a medicare enrolled "Urology" physician in Longview, Texas. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Urology. He is a member of the group practice Christus Trinity Clinic and his current practice location is 703 E Marshall Ave Ste 5007, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 315-4455.

Dr Robert W Frederick is licensed to practice in Texas (license number K7155) 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 1780658112.

Contact Information

	Dr Robert W Frederick, MD
	703 E Marshall Ave Ste 5007, Longview, TX 75601
	(903) 315-4455
	(903) 315-2466

Map and Direction

Physician's Profile

Full Name	Dr Robert W Frederick
Gender	Male
Speciality	Urology
Experience	27 Years
Location	703 E Marshall Ave Ste 5007, Longview, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Robert W Frederick attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 1997

NPI Data:

NPI Number: 1780658112
Provider Enumeration Date: 02/14/2006
Last Update Date: 07/11/2018

Medicare PECOS Information:

PECOS PAC ID: 2860464724
Enrollment ID: I20040811000144

Medical Identifiers

Medical identifiers for Dr Robert W Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780658112	NPI	-	NPPES
145418306	Medicaid	TX
145418307	Medicaid	TX
75-2616977-007	Other	TX	TRICARE-DOUGLAS
752616977029	Other	TX	TRICARE ATHENS LOCATION
75-2616977-126	Other	TX	TRICARE
75-2616977-029	Other	TX	TRICARE
145418308	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	K7155 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Good Shepherd Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1227

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 Robert W Frederick allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

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 Robert W 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 Robert W Frederick, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450	Dr Robert W Frederick, MD 703 E Marshall Ave Ste 5007, Longview, TX 75601 Ph: (903) 315-4455

Reviews and Comments

Urology Doctors in Longview, TX

Adrienne J K Carmack, MD Urology Medicare: Medicare Enrolled Practice Location: 703 E Marshall Ave, Suite 5007, Longview, TX 75601 Phone: 903-315-4455 Fax: 903-315-2466
Dr. Paul Brian Williams, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr, Longview, TX 75605 Phone: 903-757-7871 Fax: 903-753-2479
Landon Taylor Erickstad, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr Ste 400, Longview, TX 75605 Phone: 903-757-7871 Fax: 903-753-2479
Dr. John M Ferrell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, Suite 5008, Longview, TX 75601 Phone: 903-757-7871 Fax: 903-753-2479
Gid Roger Johnson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1608 Sweetbriar St, Longview, TX 75604 Phone: 903-297-6000 Fax: 903-297-6250
Dr. Gregory Ashton Edwards, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr, Suite 400, Longview, TX 75605 Phone: 903-757-7871 Fax: 903-753-2479
Dr. Timothy W Howes, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, Suite 5008, Longview, TX 75601 Phone: 903-757-7871 Fax: 903-753-2479

Dr Robert W Frederick, MD - Medicare Urology in Longview, TX