Carlie Ann Frederick, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent" in Columbus, Georgia. She graduated from nursing school in 1991 and has 35 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Francis Physician Practices Llc and her current practice location is
2000 16th Ave, Columbus, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 320-3700.
Carlie Ann Frederick is licensed to practice in Georgia (license number RN095043) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497984603.
Provider's Profile
| Full Name | Carlie Ann Frederick |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 35 Years |
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| Location | 2000 16th Ave, Columbus, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carlie Ann Frederick graduated from nursing school in 1991
NPI Data:
- NPI Number: 1497984603
- Provider Enumeration Date: 07/09/2009
- Last Update Date: 08/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072780527
- Enrollment ID: I20130912000083
Medical Identifiers
Medical identifiers for Carlie Ann Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497984603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | RN095043 (Georgia) | Secondary |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | RN095043 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Francis Physician Practices Llc | 8729381033 | 80 |
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. Carlie Ann Frederick allows following entities to bill medicare on her behalf.
| Entity Name | St Francis Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326749417
PECOS PAC ID: 8729381033
Enrollment ID: O20160120002073 |
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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. Carlie Ann Frederick 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 |
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Carlie Ann Frederick, APRN
2300 Manchester Expy Ste 2001a,
Columbus, GA 31904-6802
Ph: (706) 320-3126 | Carlie Ann Frederick, APRN
2000 16th Ave,
Columbus, GA 31901-1665
Ph: (706) 320-3700 |
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