Keith J Frederick, DO - Medicare Orthopedic Surgery in Rolla, MO

Keith J Frederick, DO is a medicare enrolled "Orthopaedic Surgery" physician in Rolla, Missouri. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1981 and has 43 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Pcrmc Medical Group, Inc and his current practice location is 1050 W 10th St, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 364-5633.

Keith J Frederick is licensed to practice in Missouri (license number R4D88) 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 1366552762.

Contact Information

Keith J Frederick, DO
1050 W 10th St,
Rolla, MO 65401-2905
(573) 364-5633
(573) 426-5314



Physician's Profile

Full NameKeith J Frederick
GenderMale
SpecialityOrthopedic Surgery
Experience43 Years
Location1050 W 10th St, Rolla, Missouri
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:
  • Keith J Frederick attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1981
  NPI Data:
  • NPI Number: 1366552762
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 08/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3678529294
  • Enrollment ID: I20070831000280

Medical Identifiers

Medical identifiers for Keith J Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366552762NPI-NPPES
242256303MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery R4D88 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phelps County Regional Medical CenterRolla, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pcrmc Medical Group, Inc155745406390

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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. Keith J Frederick allows following entities to bill medicare on his behalf.
Entity NamePhelps County Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891766051
PECOS PAC ID: 2860391158
Enrollment ID: O20040106000405

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Entity NameCedar County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619090404
PECOS PAC ID: 7315841129
Enrollment ID: O20040120000314

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Entity NamePcrmc Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124237227
PECOS PAC ID: 1557454063
Enrollment ID: O20070829000437

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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. Keith J 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
Keith J Frederick, DO
1050 W 10th St, Attn: Executive Director Of Physician Clinics,
Rolla, MO 65401

Ph: (573) 458-3451
Keith J Frederick, DO
1050 W 10th St,
Rolla, MO 65401-2905

Ph: (573) 364-5633

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Orthopaedic Surgery Doctors in Rolla, MO

Alan D Heincker, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-364-5633    Fax: 573-202-2490
Dr. Daniel O'loughlin, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1605 Martin Springs Dr Ste 330, Rolla, MO 65401
Phone: 573-458-6370    
Dr. Thomas Frederick Satterly Iii, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-364-5633    Fax: 573-202-2490
Jay Patel, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401
Phone: 417-533-6560    
Theodore Nmi Koreckij, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-364-5633    Fax: 573-426-5314
Mr. Michael Sterling Potter, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1050 W 10th St, Rolla, MO 65401
Phone: 573-364-9000    Fax: 573-426-5314

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