Dr Luke Richard Frederick, MD - Medicare Urology in Rockford, IL

Dr Luke Richard Frederick, MD is a medicare enrolled "Urology" physician in Rockford, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Urology. He is a member of the group practice Rockford Urological Associates Ltd and his current practice location is 351 Executive Pkwy, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 398-4057.

Dr Luke Richard Frederick is licensed to practice in Illinois (license number 036140866) 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 1043507866.

Contact Information

Dr Luke Richard Frederick, MD
351 Executive Pkwy,
Rockford, IL 61107-5339
(815) 398-4057
(815) 398-0220



Physician's Profile

Full NameDr Luke Richard Frederick
GenderMale
SpecialityUrology
Experience13 Years
Location351 Executive Pkwy, Rockford, Illinois
Accepts Medicare AssignmentsYes. 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 Luke Richard Frederick attended and graduated from Southern Illinois University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1043507866
  • Provider Enumeration Date: 06/30/2011
  • Last Update Date: 06/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3779723788
  • Enrollment ID: I20160624000456

Medical Identifiers

Medical identifiers for Dr Luke Richard Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043507866NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 036140866 (Illinois)Primary
208800000XUrology 125.059642 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish American HospitalRockford, ILHospital
Osf Saint Anthony Medical CenterRockford, ILHospital
Fhn Memorial HospitalFreeport, ILHospital
Javon Bea HospitalRockford, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rockford Urological Associates Ltd397160438010

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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 Luke Richard Frederick allows following entities to bill medicare on his behalf.
Entity NameRockford Urological Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194786558
PECOS PAC ID: 3971604380
Enrollment ID: O20070728000015

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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 Luke Richard 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 AddressPractice Location Address
Dr Luke Richard Frederick, MD
351 Executive Pkwy,
Rockford, IL 61107-5339

Ph: (815) 398-4057
Dr Luke Richard Frederick, MD
351 Executive Pkwy,
Rockford, IL 61107-5339

Ph: (815) 398-4057

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Urology Doctors in Rockford, IL

Daniel Lee Houlihan, D.O.
Urology
Medicare: Medicare Enrolled
Practice Location: 351 Executive Pkwy, Rockford, IL 61107
Phone: 815-398-4057    
Ashley Wire, FNP-BC
Urology
Medicare: Medicare Enrolled
Practice Location: 351 Executive Pkwy, Rockford, IL 61107
Phone: 815-398-4057    
Christopher Whelan, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 351 Executive Pkwy, Rockford, IL 61107
Phone: 815-398-4057    Fax: 815-316-4296
Douglas Paul Roegner, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 351 Executive Pkwy, Rockford, IL 61107
Phone: 815-398-4057    
Daniel Lawler Swift, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 351 Executive Pkwy, Rockford, IL 61107
Phone: 815-398-4057    Fax: 815-398-0220
Michael John Fumo, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 351 Executive Pkwy, Rockford, IL 61107
Phone: 815-398-4057    

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