| John Randall Frederick, MD | |
|
1650 Huntingdon Pike, Suite 154, Meadowbrook, PA 19046-8004 | |
| (215) 938-3145 | |
| (215) 938-3144 |
| Full Name | John Randall Frederick |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1650 Huntingdon Pike, Meadowbrook, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669453213 | NPI | - | NPPES |
| 1886916-03 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | M.D.032063E (Pennsylvania) | Primary |
| Entity Name | Vohra Post Acute Care Physicians Of The Northeast Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275969131 PECOS PAC ID: 9335378066 Enrollment ID: O20140129001206 |
| Entity Name | Renew Wound Care Of Pennsylvania Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194442640 PECOS PAC ID: 4587033022 Enrollment ID: O20221206000850 |
| Mailing Address | Practice Location Address |
|---|---|
| John Randall Frederick, MD 1650 Huntingdon Pike, Suite 154, Meadowbrook, PA 19046-8004 Ph: (215) 938-3145 | John Randall Frederick, MD 1650 Huntingdon Pike, Suite 154, Meadowbrook, PA 19046-8004 Ph: (215) 938-3145 |
Dr. Janet M Krettek, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1650 Huntingdon Pike, Suite 205, Meadowbrook, PA 19046 Phone: 215-938-3145 Fax: 215-938-3144 | |
Subash S Karnik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1648 Huntingdon Pike, Meadowbrook, PA 19046 Phone: 215-947-3000 | |
Dasika Sastry, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1650 Huntingdon Pike, Suite 311, Meadowbrook, PA 19046 Phone: 215-947-5345 Fax: 215-947-6961 | |
Dr. Mohsen H. Vahedi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1648 Huntingdon Pike, Meadowbrook, PA 19046 Phone: 215-947-3000 Fax: 215-938-3829 | |
Patricia Leung, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1650 Huntingdon Pike, Suite 154, Meadowbrook, PA 19046 Phone: 215-938-3145 Fax: 215-938-3144 | |
Dr. Lorenz Nicholas Iannarone, MD Surgery Medicare: Medicare Enrolled Practice Location: 1650 Huntingdon Pike, Suite 154, Meadowbrook, PA 19046 Phone: 215-938-3145 Fax: 215-938-3144 |