Mr George Fredericks Iv, FNP-C in Blountville, TN

Mr George Fredericks Iv, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Blountville, Tennessee. His current practice location is 1913 Highway 394, Blountville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 662-7002.

Mr George Fredericks Iv is licensed to practice in Tennessee (license number 32503) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629798384.

Contact Information

	Mr George Fredericks Iv, FNP-C
	1913 Highway 394, Blountville, TN 37617-5349
	(423) 662-7002
	(423) 662-7003

Map and Direction

Provider's Profile

Full Name	Mr George Fredericks Iv
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1913 Highway 394, Blountville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629798384
Provider Enumeration Date: 08/31/2022
Last Update Date: 12/12/2022

Medicare PECOS Information:

PECOS PAC ID: 9931579679
Enrollment ID: I20221221001856

Medical Identifiers

Medical identifiers for Mr George Fredericks Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629798384	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0000192577 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	32503 (Tennessee)	Primary

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. Mr George Fredericks Iv allows following entities to bill medicare on his behalf.

Entity Name	Karing Hearts Cardiology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841895935 PECOS PAC ID: 9436567252 Enrollment ID: O20210415002935

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. Mr George Fredericks Iv 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
Mr George Fredericks Iv, FNP-C 1913 Highway 394, Blountville, TN 37617-5349 Ph: (423) 662-7002	Mr George Fredericks Iv, FNP-C 1913 Highway 394, Blountville, TN 37617-5349 Ph: (423) 662-7002

Reviews and Comments

Nurse Practitioner Nurses in Blountville, TN

Megan Dugger, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002
Mrs. Kristina Ann Roark, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002 Fax: 423-662-7003
Ashley Brooke Booher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1913 Highway 394 Ste 2, Blountville, TN 37617 Phone: 423-662-6002
Cori Baker, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002 Fax: 423-662-7003
Ms. Jennifer Jane Williams, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 154 Blountville Bypass, Blountville, TN 37617 Phone: 423-279-2638 Fax: 423-279-2727
Leslie Sullins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1913 Highway 394, Blountville, TN 37617 Phone: 423-662-7002
Alicia D Frasure, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 154 Blountville Byp, Blountville, TN 37617 Phone: 423-279-2777 Fax: 423-279-2797

Mr George Fredericks Iv, FNP-C - Medicare Nurse Practitioner in Blountville, TN