Dr Jason R Fredenberg, PSYD is a medicare enrolled "Psychologist" provider in Cairo, New York. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice County Of Greene and his current practice location is
905 Greene Co Office Bldg, Greene Co Mental Health Clinic, Cairo, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 622-9163.
Dr Jason R Fredenberg is licensed to practice in New York (license number 015573) 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 1689688285.
Healthcare Provider's Profile
Full Name | Dr Jason R Fredenberg |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 22 Years |
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Location | 905 Greene Co Office Bldg, Cairo, New York |
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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:
- Dr Jason R Fredenberg graduated from medical school in 2002
NPI Data:
- NPI Number: 1689688285
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0446142475
- Enrollment ID: I20040325001334
Medical Identifiers
Medical identifiers for Dr Jason R Fredenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689688285 | NPI | - | NPPES |
015573 | Other | NY | LICENSE NO |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 015573 (New York) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
County Of Greene | 9133038219 | 13 |
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. Dr Jason R Fredenberg allows following entities to bill medicare on his behalf.
Entity Name | County Of Greene |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255360046 PECOS PAC ID: 9133038219 Enrollment ID: O20040324001631 |
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Entity Name | Jason Fredenberg Psychologist Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326373267 PECOS PAC ID: 6507904059 Enrollment ID: O20091104000078 |
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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. Dr Jason R Fredenberg 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 |
Dr Jason R Fredenberg, PSYD 905 Greene Co Office Bldg, Greene Co Mental Health Clinic, Cairo, NY 12413-2868 Ph: (518) 622-9163 | Dr Jason R Fredenberg, PSYD 905 Greene Co Office Bldg, Greene Co Mental Health Clinic, Cairo, NY 12413-2868 Ph: (518) 622-9163 |
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