Dalton Frederick, OTD, OTR/L in Vancleave, MS - Medicare Occupational Therapist Provider

Dalton Frederick, OTD, OTR/L is a medicare enrolled "Occupational Therapist" provider in Vancleave, Mississippi. His current practice location is 6300 E Lake Blvd Ste 201, Vancleave, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 230-2663.

Dalton Frederick is licensed to practice in Mississippi (license number OT-4052) 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 1811776701.

Contact Information

	Dalton Frederick, OTD, OTR/L
	6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771
	(228) 230-2663
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dalton Frederick
Gender	Male
Speciality	Occupational Therapist
Location	6300 E Lake Blvd Ste 201, Vancleave, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811776701
Provider Enumeration Date: 09/28/2023
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5799131090
Enrollment ID: I20231023002550

Medical Identifiers

Medical identifiers for Dalton Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811776701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT-4052 (Mississippi)	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. Dalton Frederick allows following entities to bill medicare on his behalf.

Provider Name	Bienville Orthopaedic Specialists, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1689605834 PECOS PAC ID: 0547155178 Enrollment ID: O20040220000834

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. Dalton 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
Dalton Frederick, OTD, OTR/L 6300 E Lake Blvd Ste 301, Vancleave, MS 39565-6771 Ph: (228) 230-2663	Dalton Frederick, OTD, OTR/L 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 Ph: (228) 230-2663

Reviews and Comments

Occupational Therapist in Vancleave, MS

Clarissa Picard, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6300 East Lake Blvd., Suite 301, Vancleave, MS 39565 Phone: 228-230-2663 Fax: 228-206-1130
Jayme Robinson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4700 Colonel Vickrey Road, Vancleave, MS 39565 Phone: 228-826-1757
Mrs. Karoline G Johnson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 16425 Highway 57, Vancleave, MS 39565 Phone: 228-990-2476
Mrs. Melissa Nolan Hartsfield, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6300 E Lake Blvd, Suite 301, Vancleave, MS 39565 Phone: 228-230-2663 Fax: 228-206-1130
Julia G. Hines, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2109 Holder Rd, Vancleave, MS 39565 Phone: 228-826-3059 Fax: 228-826-3059

Dalton Frederick, OTD, OTR/L - Medicare Occupational Therapist in Vancleave, MS