Tessa Fredal, OD in Mount Clemens, MI - Medicare Optometrist Provider

Tessa Fredal, OD is a medicare enrolled "Optometrist" provider in Mount Clemens, Michigan. Her current practice location is 136 Cass Ave, Mount Clemens, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 468-4211.

Tessa Fredal is licensed to practice in Michigan (license number 4901005642) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487388294.

Contact Information

	Tessa Fredal, OD
	136 Cass Ave, Mount Clemens, MI 48043-2230
	(586) 468-4211
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tessa Fredal
Gender	Female
Speciality	Optometrist
Location	136 Cass Ave, Mount Clemens, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487388294
Provider Enumeration Date: 07/16/2022
Last Update Date: 07/16/2022

Medicare PECOS Information:

PECOS PAC ID: 8527444777
Enrollment ID: I20220926003046

Medical Identifiers

Medical identifiers for Tessa Fredal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487388294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901005642 (Michigan)	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. Tessa Fredal allows following entities to bill medicare on her behalf.

Provider Name	Ann Lacroix Fredal Od Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770885030 PECOS PAC ID: 4981715281 Enrollment ID: O20101214001182

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. Tessa Fredal 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
Tessa Fredal, OD 42327 Little Rd, Clinton Twp, MI 48036-1431 Ph: () -	Tessa Fredal, OD 136 Cass Ave, Mount Clemens, MI 48043-2230 Ph: (586) 468-4211

Reviews and Comments

Optometrist in Mount Clemens, MI

Dr. Jennifer M Claudio, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7612 Fax: 586-468-9701
Kristina Atleski, Optometrist Medicare: Medicare Enrolled Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7612
Dr. Robert Guy Farrell Jr., O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 140 Macomb Pl, Mount Clemens, MI 48043 Phone: 586-322-1875
Jennifer J. Kim, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7370
Ann Lacroix Fredal, O.D. PLLC Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-4211
Dr. Sheldon Lee Smith, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7370

Tessa Fredal, OD - Medicare Optometrist in Mount Clemens, MI