| Leslie Ginger Frederiksen, MD | |
|
4010 Jerry Murphy Road, Pueblo, CO 81001-1045 | |
| (719) 546-2229 | |
| (719) 583-9069 |
| Full Name | Leslie Ginger Frederiksen |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 29 Years |
| Location | 4010 Jerry Murphy Road, Pueblo, 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 |
|---|---|---|---|
| 1720015324 | NPI | - | NPPES |
| 48506311 | Medicaid | CO | |
| 11199754 | Other | CO | CAQH |
| D009 | Other | CO | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 41018 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mt San Rafael Hospital | Trinidad, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinidad Area Health Association | 2769394055 | 20 |
| Huerfano County Hospital District | 4789591769 | 23 |
| Entity Name | Trinidad Area Health Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467400309 PECOS PAC ID: 2769394055 Enrollment ID: O20031111000178 |
| Entity Name | Huerfano County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982612065 PECOS PAC ID: 4789591769 Enrollment ID: O20040202001045 |
| Entity Name | Huerfano County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760851737 PECOS PAC ID: 4789591769 Enrollment ID: O20170106000946 |
| Entity Name | Huerfano County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164835419 PECOS PAC ID: 4789591769 Enrollment ID: O20170207001777 |
| Entity Name | Huerfano County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346403375 PECOS PAC ID: 4789591769 Enrollment ID: O20170215001128 |
| Entity Name | Huerfano County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154799526 PECOS PAC ID: 4789591769 Enrollment ID: O20171006000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Ginger Frederiksen, MD Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Leslie Ginger Frederiksen, MD 4010 Jerry Murphy Road, Pueblo, CO 81001-1045 Ph: (719) 546-2229 |
Dr. Laurel Elizabeth Wright, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 400, Pueblo, CO 81003 Phone: 719-543-4000 Fax: 719-543-1041 | |
Sally M Berryman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 400, Pueblo, CO 81003 Phone: 719-543-4000 Fax: 719-543-1041 | |
Gregory K Berryman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 400, Pueblo, CO 81003 Phone: 719-543-4000 Fax: 719-543-4010 | |
Maureen Lynn Key, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1619 N Greenwood St, Pueblo, CO 81003 Phone: 719-542-9010 Fax: 719-542-9012 | |
Fernando Ariel Mahmoud, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1120 Minnequa Ave, Pueblo, CO 81004 Phone: 719-564-0660 Fax: 719-564-0037 | |
Dr. Rachel Christine Niemet, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave, Ste 400, Pueblo, CO 81003 Phone: 719-423-7170 Fax: 719-543-1041 | |
Dr. James N Meeuwsen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave, Pueblo, CO 81003 Phone: 719-543-6755 Fax: 719-583-2236 |