| Kim Ann Fredericksen, | |
|
9191 Grant St., Thornton, CO 80229-8812 | |
| (303) 450-4482 | |
| (303) 306-7753 |
| Full Name | Kim Ann Fredericksen |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 9191 Grant St., Thornton, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528103843 | NPI | - | NPPES |
| 33455074 | Medicaid | CO | |
| P00632056 | Other | CO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | T4918 (Maryland) | Secondary |
| 207P00000X | Emergency Medicine | DR.0046734 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shands Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Florida Jacksonville Physicians, Inc. | 9133025869 | 765 |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326208695 PECOS PAC ID: 9133025869 Enrollment ID: O20040204000616 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Ann Fredericksen, Po Box 173862, Denver, CO 80217-3862 Ph: (303) 306-7783 | Kim Ann Fredericksen, 9191 Grant St., Thornton, CO 80229-8812 Ph: (303) 450-4482 |
Jody A Rein, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12020 Colorado Blvd, Thornton, CO 80241 Phone: 303-255-6940 | |
Christine B. Fleming, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9191 Grant St., Thornton, CO 80229 Phone: 303-450-4482 Fax: 303-306-7753 | |
Christopher M. Geddes, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9191 Grant Street, Thornton, CO 80229 Phone: 303-450-4482 Fax: 303-306-7753 | |
Douglas Melvin Hill, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9191 Grant St., Thornton, CO 80229 Phone: 303-450-4482 Fax: 303-306-7753 | |
Rebecca Jean Blatt, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9191 Grant St., Thornton, CO 80229 Phone: 303-450-4482 Fax: 303-306-7753 | |
David E. Saintsing, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9191 Grant St., Thornton, CO 80229 Phone: 303-450-4482 Fax: 303-306-7753 | |
Thomas R. Dietrich, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9191 Grant St., Thornton, CO 80229 Phone: 303-450-4482 Fax: 303-306-7753 |