Stacy A Fredrickson, PT, DPT - Medicare Physical Therapist in Chesterton, IN

Stacy A Fredrickson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Chesterton, Indiana. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Innovative Physical Therapy Llc and her current practice location is 748 E Porter Ave, Chesterton, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 255-1566.

Stacy A Fredrickson is licensed to practice in Indiana (license number 05010467A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285077941.

Contact Information

Stacy A Fredrickson, PT, DPT
748 E Porter Ave,
Chesterton, IN 46304-9101
(219) 255-1566
(219) 215-6115



Healthcare Provider's Profile

Full NameStacy A Fredrickson
GenderFemale
SpecialityPhysical Therapy
Experience14 Years
Location748 E Porter Ave, Chesterton, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy A Fredrickson graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1285077941
  • Provider Enumeration Date: 04/12/2013
  • Last Update Date: 12/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7113351826
  • Enrollment ID: I20200103001934

Medical Identifiers

Medical identifiers for Stacy A Fredrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285077941NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 05010467A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovative Physical Therapy Llc09415064069

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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. Stacy A Fredrickson allows following entities to bill medicare on her behalf.
Provider NameAccelerated Rehabilitation Centers Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1205875713
PECOS PAC ID: 2567372931
Enrollment ID: O20040416000404

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Provider NameInnovative Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1578937447
PECOS PAC ID: 0941506406
Enrollment ID: O20160309000787

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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. Stacy A Fredrickson 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
Stacy A Fredrickson, PT, DPT
625 Enterprise Dr,
Oak Brook, IL 60523-8813

Ph: (630) 576-6200
Stacy A Fredrickson, PT, DPT
748 E Porter Ave,
Chesterton, IN 46304-9101

Ph: (219) 255-1566

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Physical Therapist in Chesterton, IN

Mrs. Victoria Jean Vinet, MSPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 425 Sand Creek Dr Ste C, Chesterton, IN 46304
Phone: 219-926-9779    Fax: 219-926-9889
Matthew David Radencic, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1595 S Calumet Rd, Chesterton, IN 46304
Phone: 844-896-0235    Fax: 219-898-4258
Samantha Higgins, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 601 Gateway Blvd N, Chesterton, IN 46304
Phone: 219-921-1444    Fax: 219-926-6926
Lauren Evenson,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1120 S Calumet Rd Ste 3, Chesterton, IN 46304
Phone: 219-983-9675    
Jennifer Nicole Racette, D.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 751 E Porter Ave Ste 2, Chesterton, IN 46304
Phone: 219-926-5850    Fax: 219-250-2072
Amber N Eckert, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1120 S Calumet Rd, Chesterton, IN 46304
Phone: 219-983-9675    
Laura Wassilak, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1120 S Calumet Rd, Suite 3, Chesterton, IN 46304
Phone: 219-983-9675    Fax: 219-983-9681

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