Dr Kristin Lee Fredrickson, DO - Medicare Otolaryngology in Hibbing, MN

Dr Kristin Lee Fredrickson, DO is a medicare enrolled "Otolaryngology" physician in Hibbing, Minnesota. She went to Kansas City University Of Physicians And Surgeons and graduated in 2001 and has 23 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Range Regional Health Services and her current practice location is 3605 Mayfair Ave, Hibbing, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 262-3441.

Dr Kristin Lee Fredrickson is licensed to practice in Minnesota (license number 48615) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912957408.

Contact Information

Dr Kristin Lee Fredrickson, DO
3605 Mayfair Ave,
Hibbing, MN 55746-2923
(218) 262-3441
(218) 362-6989



Physician's Profile

Full NameDr Kristin Lee Fredrickson
GenderFemale
SpecialityOtolaryngology
Experience23 Years
Location3605 Mayfair Ave, Hibbing, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kristin Lee Fredrickson attended and graduated from Kansas City University Of Physicians And Surgeons in 2001
  NPI Data:
  • NPI Number: 1912957408
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 09/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7810900065
  • Enrollment ID: I20060711000268

Medical Identifiers

Medical identifiers for Dr Kristin Lee Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912957408NPI-NPPES
48615OtherMNMN LIC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 48615 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Medical Center-mesabi/ Mesaba ClinicsHibbing, MNHospital
Grand Itasca Clinic And HospitalGrand rapids, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Range Regional Health Services8022920024121

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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 Kristin Lee Fredrickson allows following entities to bill medicare on her behalf.
Entity NameRange Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095

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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 Kristin Lee Fredrickson 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 AddressPractice Location Address
Dr Kristin Lee Fredrickson, DO
3605 Mayfair Ave,
Hibbing, MN 55746-2923

Ph: (218) 262-3441
Dr Kristin Lee Fredrickson, DO
3605 Mayfair Ave,
Hibbing, MN 55746-2923

Ph: (218) 262-3441

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Otolaryngology Doctors in Hibbing, MN


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