Lance R Fredrickson, CRNA in Moses Lake, WA - Medicare Certified Registered Nurse Anesthetist (crna)

Lance R Fredrickson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Moses Lake, Washington. He went to Rush Medical College Of Rush University and graduated in 2008 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Grant County Public Hospital District 1 and his current practice location is 801 E Wheeler Rd, Moses Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 765-5606.

Lance R Fredrickson is licensed to practice in Washington (license number AP61610317) 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 1659522308.

Contact Information

	Lance R Fredrickson, CRNA
	801 E Wheeler Rd, Moses Lake, WA 98837-1820
	(509) 765-5606
	(509) 764-3244

Map and Direction

Provider's Profile

Full Name	Lance R Fredrickson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	17 Years
Location	801 E Wheeler Rd, Moses Lake, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lance R Fredrickson attended and graduated from Rush Medical College Of Rush University in 2008

NPI Data:

NPI Number: 1659522308
Provider Enumeration Date: 09/30/2008
Last Update Date: 04/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9739241233
Enrollment ID: I20250131003463

Medical Identifiers

Medical identifiers for Lance R Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659522308	NPI	-	NPPES
2307808	Medicaid	WA
3504375-01	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	AP120956 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP61610317 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Samaritan Hospital	Moses lake, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grant County Public Hospital District 1	9931095692	81

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. Lance R Fredrickson allows following entities to bill medicare on his behalf.

Entity Name	Grant County Public Hospital District 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602

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. Lance R 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 Address	Practice Location Address
Lance R Fredrickson, CRNA 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715	Lance R Fredrickson, CRNA 801 E Wheeler Rd, Moses Lake, WA 98837-1820 Ph: (509) 765-5606

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Moses Lake, WA

Ms. Stephanie Kay Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606
Vanessa F Ratcliff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606
James Kanon Griffitts, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606
Joshua A. Nunnery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606
Robert Misasi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-764-5606
Mars Brimhall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 770-643-5619
Brian N Nordstrom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 E Wheeler Rd, Moses Lake, WA 98837 Phone: 509-765-5606

Lance R Fredrickson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Moses Lake, WA