Dr Robert W Frederick, MD - Medicare Urology in Longview, TX

Dr Robert W Frederick, MD is a medicare enrolled "Urology" physician in Longview, Texas. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Urology. He is a member of the group practice Christus Trinity Clinic and his current practice location is 703 E Marshall Ave Ste 5007, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 315-4455.

Dr Robert W Frederick is licensed to practice in Texas (license number K7155) 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 1780658112.

Contact Information

Dr Robert W Frederick, MD
703 E Marshall Ave Ste 5007,
Longview, TX 75601
(903) 315-4455
(903) 315-2466



Physician's Profile

Full NameDr Robert W Frederick
GenderMale
SpecialityUrology
Experience27 Years
Location703 E Marshall Ave Ste 5007, Longview, Texas
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 Robert W Frederick attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1780658112
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 07/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2860464724
  • Enrollment ID: I20040811000144

Medical Identifiers

Medical identifiers for Dr Robert W Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780658112NPI-NPPES
145418306MedicaidTX
145418307MedicaidTX
75-2616977-007OtherTXTRICARE-DOUGLAS
752616977029OtherTXTRICARE ATHENS LOCATION
75-2616977-126OtherTXTRICARE
75-2616977-029OtherTXTRICARE
145418308MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology K7155 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Good Shepherd Medical CenterLongview, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Christus Trinity Clinic30724267411227

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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 Robert W Frederick allows following entities to bill medicare on his behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091

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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 Robert W 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 Robert W Frederick, MD
Po Box 846098,
Dallas, TX 75284-6098

Ph: (903) 324-6450
Dr Robert W Frederick, MD
703 E Marshall Ave Ste 5007,
Longview, TX 75601

Ph: (903) 315-4455

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Urology Doctors in Longview, TX

Adrienne J K Carmack, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 703 E Marshall Ave, Suite 5007, Longview, TX 75601
Phone: 903-315-4455    Fax: 903-315-2466
Dr. Paul Brian Williams, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 802 Medical Dr, Longview, TX 75605
Phone: 903-757-7871    Fax: 903-753-2479
Landon Taylor Erickstad, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 802 Medical Dr Ste 400, Longview, TX 75605
Phone: 903-757-7871    Fax: 903-753-2479
Dr. John M Ferrell, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 703 E Marshall Ave, Suite 5008, Longview, TX 75601
Phone: 903-757-7871    Fax: 903-753-2479
Gid Roger Johnson, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1608 Sweetbriar St, Longview, TX 75604
Phone: 903-297-6000    Fax: 903-297-6250
Dr. Gregory Ashton Edwards, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 802 Medical Dr, Suite 400, Longview, TX 75605
Phone: 903-757-7871    Fax: 903-753-2479
Dr. Timothy W Howes, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 703 E Marshall Ave, Suite 5008, Longview, TX 75601
Phone: 903-757-7871    Fax: 903-753-2479

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