Elaine M Fredrickson, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in West Palm Beach, Florida. She graduated from medical school in 1997 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Estill Medical Clinic, Psc, Estill Medical Clinic, Psc and her current practice location is
4700 N Congress Ave, Ste 103, West Palm Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 255-3131.
Elaine M Fredrickson is licensed to practice in Kentucky (license number 3014562) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972564433.
Physician's Profile
| Full Name | Elaine M Fredrickson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 29 Years |
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| Location | 4700 N Congress Ave, West Palm Beach, Florida |
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| Accepts Medicare Assignments | Yes. She 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:
- Elaine M Fredrickson graduated from medical school in 1997
NPI Data:
- NPI Number: 1972564433
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 05/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769675743
- Enrollment ID: I20101022000300
Medical Identifiers
Medical identifiers for Elaine M Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972564433 | NPI | - | NPPES |
| 7100814330 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | ARNP9186537 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3014562 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Estill Medical Clinic, Psc | 5597845255 | 6 |
| Estill Medical Clinic, Psc | 5597845255 | 6 |
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. Elaine M 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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Elaine M Fredrickson, APRN
5336 Ann Arbor Dr,
Bokeelia, FL 33922-3016
Ph: (561) 248-9297 | Elaine M Fredrickson, APRN
4700 N Congress Ave, Ste 103,
West Palm Beach, FL 33407-3284
Ph: (561) 255-3131 |
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