| Christine Fredrickson, | |
|
201 E Sample Rd, Deerfield Beach, FL 33064-3502 | |
| (954) 786-6950 | |
| Not Available |
| Full Name | Christine Fredrickson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 201 E Sample Rd, Deerfield Beach, Florida |
| 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 |
|---|---|---|---|
| 1417967993 | NPI | - | NPPES |
| 201141 | Other | IL | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209004116 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11042094 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center | Galesburg, IL | Hospital |
| Osf Holy Family Medical Center | Monmouth, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Quincy Physicians And Surgeons Clinic, Pllc | 0749192375 | 208 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445 |
| Entity Name | St Mary Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982668851 PECOS PAC ID: 8628038015 Enrollment ID: O20050407000802 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Fredrickson, 3333 N Seminary St, Galesburg, IL 61401-1251 Ph: () - | Christine Fredrickson, 201 E Sample Rd, Deerfield Beach, FL 33064-3502 Ph: (954) 786-6950 |
Roxanne Burey, RN, ARNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 Sw 12th Ave, Deerfield Beach, FL 33442 Phone: 954-426-8840 Fax: 954-426-6642 | |
Nadia S Christensen, ARNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 Sw 12th Ave, Deerfield Beach, FL 33442 Phone: 954-426-8840 Fax: 954-426-6642 | |
Miss Ranata Latise Simmons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 406 Sw 12th Ave, Deerfield Beach, FL 33442 Phone: 954-426-1169 | |
Ilona T Sweet, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 E Sample Rd, C/o North Broward Medical Center, Deerfield Beach, FL 33064 Phone: 954-786-6755 | |
Mr. Brian K Tanner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 201 E Sample Rd, Deerfield Beach, FL 33064 Phone: 954-941-8300 | |
Vivian Abdallah, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: C/o North Broward Medical Center, 201 East Sample Road, Deerfield Beach, FL 33064 Phone: 954-786-6755 |