Brett William Fredericksen, OD - Medicare Optometrist in Boise, ID

Brett William Fredericksen, OD is a medicare enrolled "Optometrist" provider in Boise, Idaho. He went to University Of Houston - College Of Optometry and graduated in 2021 and has 3 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eye Pros Treasure Valley, Lwk P C and his current practice location is 291 N Milwaukee St Ste A-3, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (833) 776-2020.

Brett William Fredericksen is licensed to practice in Idaho (license number ODP-100533) 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 1194392845.

Contact Information

Brett William Fredericksen, OD
291 N Milwaukee St Ste A-3,
Boise, ID 83704-9132
(833) 776-2020
(208) 297-5718



Healthcare Provider's Profile

Full NameBrett William Fredericksen
GenderMale
SpecialityOptometry
Experience3 Years
Location291 N Milwaukee St Ste A-3, Boise, Idaho
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:
  • Brett William Fredericksen attended and graduated from University Of Houston - College Of Optometry in 2021
  NPI Data:
  • NPI Number: 1194392845
  • Provider Enumeration Date: 06/09/2021
  • Last Update Date: 06/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264835016
  • Enrollment ID: I20210730001850

Medical Identifiers

Medical identifiers for Brett William Fredericksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194392845NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ODP-100533 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eye Pros Treasure Valley54961299344
Lwk P C589082424713

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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. Brett William Fredericksen allows following entities to bill medicare on his behalf.
Provider NameLwk P C
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851624019
PECOS PAC ID: 5890824247
Enrollment ID: O20100524000915

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Provider NameEye Pros Treasure Valley
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083370340
PECOS PAC ID: 5496129934
Enrollment ID: O20230323000918

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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. Brett William Fredericksen 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
Brett William Fredericksen, OD
3485 N Cole Rd Unit 45479,
Boise, ID 83711-1095

Ph: (833) 776-2020
Brett William Fredericksen, OD
291 N Milwaukee St Ste A-3,
Boise, ID 83704-9132

Ph: (833) 776-2020

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Optometrist in Boise, ID

Vision Quest Medical Center, Pa
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 5680 W Gage St, Boise, ID 83706
Phone: 208-377-3937    Fax: 208-377-9455
Dr. Gregory N Bodily, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 610 Americana Blvd, Boise, ID 83702
Phone: 208-344-2020    Fax: 208-344-2371
Brent Sexauer, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1175 W Boise Ave, Boise, ID 83706
Phone: 208-384-9194    
J. Randall Pitman & Associates, P.c.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2051 S Cole Rd, Boise, ID 83709
Phone: 208-672-1200    Fax: 208-321-8728
Dr. James W Vail, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 3417 N Cole Rd, Boise, ID 83704
Phone: 208-377-1102    Fax: 208-377-5853
Dr. Lavar W Kofoed, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 291 N Milwaukee St, Boise, ID 83704
Phone: 208-378-7020    Fax: 208-378-9460
Dr. Paul Christian Neville, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 305 E Jefferson St, Boise, ID 83712
Phone: 208-381-6910    

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