| Kyle Matthew Fredrickson, MD | |
|
18484 Kachina Ct, Lakeville, MN 55044-4886 | |
| (952) 993-8800 | |
| Not Available |
| Full Name | Kyle Matthew Fredrickson |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 4 Years |
| Location | 18484 Kachina Ct, Lakeville, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134869696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2025-02382 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 82141 (Minnesota) | Primary |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Matthew Fredrickson, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: Not Available | Kyle Matthew Fredrickson, MD 18484 Kachina Ct, Lakeville, MN 55044-4886 Ph: (952) 993-8800 |
Rachel Erdman, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 20520 Keokuk Ave Ste 200, Lakeville, MN 55044 Phone: 952-435-2450 |
Dr. Melissa Appel, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8850 Callander Cir, Lakeville, MN 55044 Phone: 952-461-1142 |
Mrs. Ali Elizabeth Peterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18432 Kenrick Ave, Park Nicollet - Lakeville, Lakeville, MN 55044 Phone: 952-993-8858 |
Anne Schendel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-993-8800 |
Andrea D Singh, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 18432 Kenrick Ave, Lakeville, MN 55044 Phone: 952-993-8800 |
Megan Dillman, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11175 205th St W, Lakeville, MN 55044 Phone: 952-388-1212 |
Dr. Manika Bhateja, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 18580 Joplin Ave, Lakeville, MN 55044 Phone: 952-892-9555 |