Russell J Fredrickson, MD - Medicare Family Practice in North Fond Du Lac, WI

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Russell J Fredrickson, MD is a medicare enrolled "Family Medicine" physician in North Fond Du Lac, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Agnesian Healthcare Inc and his current practice location is 723 Park Ridge Ln, North Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-8600.

Russell J Fredrickson is licensed to practice in Wisconsin (license number 44683) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881685261.

Contact Information

Russell J Fredrickson, MD
723 Park Ridge Ln,
North Fond Du Lac, WI 54937-1385
(920) 926-8600
Not Available

Map and Direction




Physician's Profile

Full NameRussell J Fredrickson
GenderMale
SpecialityFamily Practice
Experience23 Years
Location723 Park Ridge Ln, North Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Russell J Fredrickson attended and graduated from University Of Wisconsin School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1881685261
  • Provider Enumeration Date: 11/03/2005
  • Last Update Date: 12/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0749263671
  • Enrollment ID: I20040610001362

Medical Identifiers

Medical identifiers for Russell J Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881685261NPI-NPPES
34301400MedicaidWI
P00140682OtherWIRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 44683 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Agnes Hsptl Home Care SvcFond du lac, WIHome health agency
St Agnes Hsptl Hospice HopeFond du lac, WIHospice
St Agnes HospitalFond du lac, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agnesian Healthcare Inc1658289624319

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. Russell J Fredrickson allows following entities to bill medicare on his behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263

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. Russell J 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 AddressPractice Location Address
Russell J Fredrickson, MD
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340		Russell J Fredrickson, MD
723 Park Ridge Ln,
North Fond Du Lac, WI 54937-1385

Ph: (920) 926-8600

Reviews and Comments


Family Medicine Doctors in North Fond Du Lac, WI

Douglas R Fownes, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 723 Park Ridge Ln, North Fond Du Lac, WI 54937
Phone: 920-926-8600    
Dr. Tamara L Lyday, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 700 Park Ridge Ln, North Fond Du Lac, WI 54937
Phone: 920-926-7800    Fax: 920-496-4705
Elizabeth Downing Strittmatter, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 723 Park Ridge Ln, North Fond Du Lac, WI 54937
Phone: 920-926-8600    Fax: 920-926-8650

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.