| Angelia Frederick, CNP | |
|
100 Sioux Drive, Chamberlain, SD 57325 | |
| (605) 730-5639 | |
| Not Available |
| Full Name | Angelia Frederick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 100 Sioux Drive, Chamberlain, South Dakota |
| 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 |
|---|---|---|---|
| 1518409887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | CP001170 (South Dakota) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | R029072 (South Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eagle Butte Indian Health Service Hospital | Eagle butte, SD | Hospital |
| Pine Ridge Ihs Hospital | Pine ridge, SD | Hospital |
| P H S Indian Hospital Crow / Northern Cheyenne | Crow agency, MT | Hospital |
| Sells Hospital | Sells, AZ | Hospital |
| Red Lake Hospital | Redlake, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| U S Health Dept Of Health And Human Services | 9638081623 | 98 |
| Eagle Butte Indian Health Service Hospital | 7517852759 | 42 |
| Ton Sells Hospital | 5092768663 | 51 |
| Entity Name | U S Health Dept of Health & Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
| Entity Name | Phs Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809765 PECOS PAC ID: 4789598731 Enrollment ID: O20031114000287 |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Rosebud Indian Health Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
| Entity Name | Eagle Butte Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558395848 PECOS PAC ID: 7517852759 Enrollment ID: O20040217001024 |
| Entity Name | Ton Sells Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487652426 PECOS PAC ID: 5092768663 Enrollment ID: O20050301000125 |
| Entity Name | Ton San Xavier Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437157302 PECOS PAC ID: 6608819339 Enrollment ID: O20050603000721 |
| Entity Name | Ton Santa Rosa Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770581639 PECOS PAC ID: 0749223485 Enrollment ID: O20050603000761 |
| Entity Name | Ton San Simon Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588834998 PECOS PAC ID: 8123194354 Enrollment ID: O20081111000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Angelia Frederick, CNP 100 Sioux Dr, Chamberlain, SD 57325-1742 Ph: (605) 730-5639 | Angelia Frederick, CNP 100 Sioux Drive, Chamberlain, SD 57325 Ph: (605) 730-5639 |
Carmen Hendrix, NP-PMH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 |
Sara Kay Klein, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 South Front St., Chamberlain, SD 57325 Phone: 605-234-5684 Fax: 605-234-5002 |
Amanda Mahnke, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 |
Debra K Webb, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 Fax: 605-234-7260 |
Tonya L Struble, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 Fax: 605-234-7260 |
Kasey J Hanson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-337-3364 Fax: 605-337-3360 |
Kasey Layne Kerner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Byron Blvd, Chamberlain, SD 57325 Phone: 605-234-6551 |