Dr Bradley Alan Frederickson, OD - Medicare Optometrist in Federal Way, WA

Dr Bradley Alan Frederickson, OD is a medicare enrolled "Optometrist" provider in Federal Way, Washington. He went to Pacific University - College Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Evergreen Eye Center Pllc and his current practice location is 34719 6th Ave S, Federal Way, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 212-2100.

Dr Bradley Alan Frederickson is licensed to practice in Washington (license number OD00003074) 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 1174631899.

Contact Information

Dr Bradley Alan Frederickson, OD
34719 6th Ave S,
Federal Way, WA 98003-8714
(206) 212-2100
(206) 212-2194



Healthcare Provider's Profile

Full NameDr Bradley Alan Frederickson
GenderMale
SpecialityOptometry
Experience35 Years
Location34719 6th Ave S, Federal Way, Washington
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 Bradley Alan Frederickson attended and graduated from Pacific University - College Of Optometry in 1989
  NPI Data:
  • NPI Number: 1174631899
  • Provider Enumeration Date: 08/25/2006
  • Last Update Date: 01/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6608038013
  • Enrollment ID: I20120501000708

Medical Identifiers

Medical identifiers for Dr Bradley Alan Frederickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174631899NPI-NPPES
0870427OtherWAAETNA GROUP PROVIDER NUMB
91162803298116A005OtherWATRICARE & WPS BURIEN #
2017242MedicaidWA
2187FROtherWAREGENCE BURIEN RYDER #
FR5328OtherWAREGENCE AUBURN RYDER #
59460OtherWAL&I GROUP NUMBER
891451OtherWACRIME VICTIMS GROUP NUMBE
911628032OtherWABLUE CROSS BILLING ID #
91162803298002A003OtherWATRICARE & WPS AUBURN #
FR8712OtherWAREGENCE FEDERAL WAY RYDER
2017259MedicaidWA
410028421OtherWARAILROAD MEDICARE NUMBER
91162803298003A003OtherWATRICARE & WPS FEDERAL WAY
59461OtherWAL & I INDIVIDUAL NUMBER
EV8144OtherWAREGENCE GROUP EEC #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OD00003074 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Evergreen Eye Center Pllc317341005712

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› Verified 3 days ago

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 Bradley Alan Frederickson allows following entities to bill medicare on his behalf.
Provider NameEvergreen Eye Center Pllc
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1821167479
PECOS PAC ID: 3173410057
Enrollment ID: O20040304000105

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› Verified 3 days ago

Provider NameEvergreen Eye Center Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1700959293
PECOS PAC ID: 3173410057
Enrollment ID: O20040304001193

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› Verified 3 days ago

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 Bradley Alan Frederickson 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 Bradley Alan Frederickson, OD
34719 6th Ave S,
Federal Way, WA 98003-8714

Ph: (206) 212-2100
Dr Bradley Alan Frederickson, OD
34719 6th Ave S,
Federal Way, WA 98003-8714

Ph: (206) 212-2100

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Read more News

› Verified 3 days ago


Optometrist in Federal Way, WA

Brent Chin Od Inc Ps
Optometrist
Medicare: Medicare Enrolled
Practice Location: 32717 1st Ave S, Ste.6, Federal Way, WA 98003
Phone: 253-838-5428    Fax: 253-838-0875
Jeff Hsiao, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 32717 1st Ave S, Suite 6, Federal Way, WA 98003
Phone: 253-838-5428    Fax: 253-838-0875
Westview Eye Care
Optometrist
Medicare: Medicare Enrolled
Practice Location: 31625 Pacific Hwy S Ste E1, Federal Way, WA 98003
Phone: 503-481-4775    
Tapuwa Chikwinya,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 301 S 320th St, Federal Way, WA 98003
Phone: 253-874-7958    
Mckenzie Suzanne Fogarty, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 34719 6th Ave S, Federal Way, WA 98003
Phone: 206-260-2503    Fax: 855-929-1515
David C. Caton, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 301 S 320th St, Federal Way, WA 98003
Phone: 253-874-7000    
Northwest Vision And Learning Center
Optometrist
Medicare: Medicare Enrolled
Practice Location: 1705 South 324th Place, Federal Way, WA 98003
Phone: 253-661-6005    

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