| Michael Fredericson, MD | |
|
900 Blake Wilbur Dr, First Floor Mc 5311, Palo Alto, CA 94304-2201 | |
| (650) 725-7139 | |
| (650) 498-7546 |
| Full Name | Michael Fredericson |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 37 Years |
| Location | 900 Blake Wilbur Dr, Palo Alto, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760538110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | G67096 (California) | Primary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | G67096 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stanford Health Care | Stanford, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanford Health Care | 6709797491 | 2771 |
| Entity Name | Stanford Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Fredericson, MD 300 Pasteur Dr, Edwards R105 Mc 5341, Stanford, CA 94305-2200 Ph: (650) 725-7139 | Michael Fredericson, MD 900 Blake Wilbur Dr, First Floor Mc 5311, Palo Alto, CA 94304-2201 Ph: (650) 725-7139 |
Dr. Wade Kingery, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave, Vapahcs, Pmr (117), Palo Alto, CA 94304 Phone: 650-493-5000 | |
Dr. Olga Toloknova, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 401 Webster St, Palo Alto, CA 94301 Phone: 650-327-4333 | |
Darren Don, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2990 | |
Doug T Ota, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave # Mc-128, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Vandana Punj, M.D Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave # Sci/128, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Alexis Reid, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 3825 El Camino Real, Palo Alto, CA 94306 Phone: 650-565-8090 Fax: 650-565-8095 | |
Nova Hou, MD Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 |