Dr Scott Hartley Fredrickson, MD is a medicare enrolled "Emergency Medicine" physician in Slc, Utah. He went to Georgetown University School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Physicians Integrated Care Llc and his current practice location is
144 S 500 E, Slc, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 463-7415.
Dr Scott Hartley Fredrickson is licensed to practice in Utah (license number 7536320-1205) 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 1144420357.
Physician's Profile
| Full Name | Dr Scott Hartley Fredrickson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 18 Years |
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| Location | 144 S 500 E, Slc, Utah |
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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 Scott Hartley Fredrickson attended and graduated from Georgetown University School Of Medicine in 2007
NPI Data:
- NPI Number: 1144420357
- Provider Enumeration Date: 07/25/2007
- Last Update Date: 10/23/2014
Medicare PECOS Information:
- PECOS PAC ID: 8224189808
- Enrollment ID: I20101021000005
Medical Identifiers
Medical identifiers for Dr Scott Hartley Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144420357 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 7536320-1205 (Utah) | Primary |
| 207P00000X | Emergency Medicine | A106215 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emergency Physicians Integrated Care Llc | 4284548116 | 187 |
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 Scott Hartley Fredrickson allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Physicians Integrated Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578598199
PECOS PAC ID: 4284548116
Enrollment ID: O20031115000013 |
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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 Scott Hartley Fredrickson 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 |
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Dr Scott Hartley Fredrickson, MD
144 S 500 E,
Slc, UT 84102-1907
Ph: (801) 463-7415 | Dr Scott Hartley Fredrickson, MD
144 S 500 E,
Slc, UT 84102-1907
Ph: (801) 463-7415 |
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