| Barry L Frederick, PA-C, MPAS, RN, BSN | |
|
1150 Robert Blvd Ste 240, Slidell, LA 70458-2005 | |
| (985) 646-3662 | |
| (985) 646-3691 |
| Full Name | Barry L Frederick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 21 Years |
| Location | 1150 Robert Blvd Ste 240, Slidell, Louisiana |
| 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 |
|---|---|---|---|
| 1285601740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | A10586 (Louisiana) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Medical Center | New orleans, LA | Hospital |
| Slidell Memorial Hospital | Slidell, LA | Hospital |
| Ochsner Medical Center-hancock | Bay saint louis, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochsner Clinic Llc | 8224933619 | 2845 |
| Entity Name | Ochsner Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | C & M Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710903059 PECOS PAC ID: 9436061553 Enrollment ID: O20050121000093 |
| Entity Name | Slidell Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801020433 PECOS PAC ID: 4284788134 Enrollment ID: O20090812000505 |
| Entity Name | St Tammany Emergency Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891187654 PECOS PAC ID: 7214255967 Enrollment ID: O20150409001843 |
| Entity Name | Washington Parish Emergency Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538511043 PECOS PAC ID: 4284928094 Enrollment ID: O20160802001165 |
| Entity Name | Riverside Emergency Physician Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083107080 PECOS PAC ID: 0042568917 Enrollment ID: O20180809000406 |
| Entity Name | Vincent Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740816917 PECOS PAC ID: 0840621926 Enrollment ID: O20200505000479 |
| Mailing Address | Practice Location Address |
|---|---|
| Barry L Frederick, PA-C, MPAS, RN, BSN 1001 Gause Blvd # 75, Slidell, LA 70458-2939 Ph: Not Available | Barry L Frederick, PA-C, MPAS, RN, BSN 1150 Robert Blvd Ste 240, Slidell, LA 70458-2005 Ph: (985) 646-3662 |
Michael Anthony Beninato, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1375 Corporate Square Dr, Slidell, LA 70458 Phone: 985-377-1884 Fax: 985-377-1914 |
Mrs. Naomi H Peters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1051 Gause Blvd Ste 320, Slidell, LA 70458 Phone: 985-641-7577 |
Jerome Charles Mauterer Sr., CSTFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 490 Marina Dr, Slidell, LA 70458 Phone: 985-445-6902 |
Whitney Meshell Domangue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-2200 |
Meaghan Marie Hurst, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1001 Gause Blvd, Slidell, LA 70458 Phone: 985-280-2200 |
Mason Paul Cook, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Slidell, LA 70461 Phone: 985-649-7070 |
Zane Ashton Kirby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1150 Robert Blvd, Suite 100, Slidell, LA 70458 Phone: 985-646-1122 Fax: 888-464-0738 |