| James E Frederick, MD | |
|
1427 Genesee St, Utica, NY 13501-4343 | |
| (315) 798-8868 | |
| (315) 368-0195 |
| Full Name | James E Frederick |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1427 Genesee St, Utica, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861588469 | NPI | - | NPPES |
| 146667 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 146667 (New York) | Primary |
| Entity Name | Upstate Cerebral Palsy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780636506 PECOS PAC ID: 5496734758 Enrollment ID: O20040719001380 |
| Mailing Address | Practice Location Address |
|---|---|
| James E Frederick, MD 9 Toggletown Ln, Clinton, NY 13323-1561 Ph: () - | James E Frederick, MD 1427 Genesee St, Utica, NY 13501-4343 Ph: (315) 798-8868 |
Virendra Sharma, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 | |
Dr. Robert Karl Chruscicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 288 Genesee Street, Utica, NY 13502 Phone: 315-724-7744 | |
Julie Betro Shkane, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 | |
Emily Hsu Joslin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-797-1149 Fax: 315-734-3565 | |
Molly Schug, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1256 Culver Ave, Utica, NY 13501 Phone: 315-798-7186 Fax: 315-738-0188 | |
Mahesh Padmanabhan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 | |
Sun Yoo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 |