Margie Ann Frederickson, MD is a medicare enrolled "Family Medicine" physician in La Pointe, Wisconsin. Her current practice location is
241 Big Bay Road, La Pointe, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 747-2722.
Margie Ann Frederickson is licensed to practice in Wisconsin (license number 42135) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336195536.
Physician's Profile
| Full Name | Margie Ann Frederickson |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 241 Big Bay Road, La Pointe, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336195536
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 06/29/2012
Medicare PECOS Information:
- PECOS PAC ID: 4789697814
- Enrollment ID: I20060713000149
Medical Identifiers
Medical identifiers for Margie Ann Frederickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336195536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 42135 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Margie Ann Frederickson allows following entities to bill medicare on her behalf.
| Entity Name | La Pointe Community Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003079740 PECOS PAC ID: 4789745860 Enrollment ID: O20121012000640 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Margie Ann Frederickson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Margie Ann Frederickson, MD Po Box 45, La Pointe, WI 54850-0045 Ph: (715) 747-2722 | Margie Ann Frederickson, MD 241 Big Bay Road, La Pointe, WI 54850 Ph: (715) 747-2722 |
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