Mark Fredrickson, MD in San Antonio, TX - Medicare Physical Medicine & Rehabilitation

Mark Fredrickson, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in San Antonio, Texas. His current practice location is 4502 Medical Dr, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 257-1400.

Mark Fredrickson is licensed to practice in Texas (license number K9535) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962519959.

Contact Information

	Mark Fredrickson, MD
	4502 Medical Dr, San Antonio, TX 78229-4402
	(210) 257-1400
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Fredrickson
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	4502 Medical Dr, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962519959
Provider Enumeration Date: 08/24/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5294888723
Enrollment ID: I20090731000358

Medical Identifiers

Medical identifiers for Mark Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962519959	NPI	-	NPPES
043791501	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	K9535 (Texas)	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. Mark Fredrickson allows following entities to bill medicare on his behalf.

Entity Name	Ut Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268

Entity Name	Pam Physician Enterprise
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962856161 PECOS PAC ID: 1254628589 Enrollment ID: O20160929001462

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. Mark Fredrickson 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
Mark Fredrickson, MD Uthscsa, Uthscsa, Dept. Of Rehab Medicine, 7703 Floyd Curl Drive, Rm 628l, San Antonio, TX 78229 Ph: (210) 358-4451	Mark Fredrickson, MD 4502 Medical Dr, San Antonio, TX 78229-4402 Ph: (210) 257-1400

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in San Antonio, TX

Dr. Nora Teresa Cubillos, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 16400 Blanco Rd, San Antonio, TX 78232 Phone: 210-408-1212
Dr. Stephanie Naomi Pearson, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 9150 Huebner Rd Ste 290, San Antonio, TX 78240 Phone: 210-614-6432 Fax: 210-615-3586
Kendall Hulk, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-7000
Dr. Alfredo S Romero, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1202 E Sonterra Blvd Ste 101, San Antonio, TX 78258 Phone: 210-546-1410 Fax: 210-546-1419
Austin Taylor Bevil, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-7000
Katherine Lin, M.D Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 7400 Merton Minter St, San Antonio, TX 78229 Phone: 210-617-5300
Caleb Thomas Cable, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000

Mark Fredrickson, MD - Medicare Physical Medicine & Rehabilitation in San Antonio, TX