Lynn Fredericks, RN is a
Registered Nurse - Case Management based in Lake Waukomis, Missouri. Lynn Fredericks is licensed to practice in Missouri (license number 2009012185) and her current practice location is
439 Nw North Shore Dr, Lake Waukomis, Missouri. She can be reached at her office (for appointments etc.) via phone at
(816) 674-1240.
NPI number for Lynn Fredericks is 1841173101 and her current mailing address is 439 Nw North Shore Dr, Lake Waukomis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841173101.
Provider's Profile
Full Name | Lynn Fredericks |
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Gender | Female |
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Speciality | Registered Nurse - Case Management |
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Location | 439 Nw North Shore Dr, Lake Waukomis, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841173101
- Provider Enumeration Date: 07/25/2025
- Last Update Date: 07/25/2025
Medical Identifiers
Medical identifiers for Lynn Fredericks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841173101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0400X | Registered Nurse - Case Management | 2009012185 (Missouri) | Primary |
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. Lynn Fredericks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lynn Fredericks, RN 439 Nw North Shore Dr, Lake Waukomis, MO 64151-1453 Ph: (816) 674-1240 | Lynn Fredericks, RN 439 Nw North Shore Dr, Lake Waukomis, MO 64151-1453 Ph: (816) 674-1240 |
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