Julie R Fredrick (NPI# 1932100849, PAC ID# 8123921939) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932100849 |
| PAC ID by PECOS | 8123921939 |
| Professional Enrollment ID | I20040129000553 |
| Full Name | Julie R Fredrick |
| Organization Legal Name | THEDACARE INCORPORATED |
| Address |
225 Memorial Dr Berlin WI 54923-1243 |
| Phone Number | 9203611313 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1990 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759294887 |
| Number of Group Practice Members | 478 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521355 | BERLIN MEMORIAL HOSPITAL |
| 520045 | THEDA CLARK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 225 Memorial Dr, Berlin, WI 54923-1243 | 9203611313 | THEDACARE INCORPORATED |
| Organization Legal Name | THEDACARE INCORPORATED |
| Physicians | 485 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew J Kubisch | Physician Assistant | Thedacare Incorporated | 1405 Mill St, New London, WI 54961-2155 |
| Anna L King | Physician Assistant | Thedacare Incorporated | 1818 N Meade St Room, N255, Appleton, WI 54911-3454 |
| Roger B Collins | Orthopedic Surgery | Thedacare Incorporated | 130 2nd St, Neenah, WI 54956-2883 |
| Jennifer E Szmanda | Pediatric Medicine | Thedacare Incorporated | 640 Deerwood Ave, Neenah, WI 54956-7110 |
| Elizabeth A Barthel | Nurse Practitioner | Thedacare Incorporated | 2500 E Capitol Dr, Fl 2, Appleton, WI 54911-8735 |
| Carmen L Miller | Nurse Practitioner | Thedacare Incorporated | 710 Riverside Dr, Waupaca, WI 54981-1941 |
| Kathleen M Erdahl | Nurse Practitioner | Thedacare Incorporated | 1000 W Northland Ave, Appleton, WI 54914-1419 |
| Jennifer L Kohnke | Nurse Practitioner | Thedacare Incorporated | 670 Country Rd A, Green Lake, WI 54941-8608 |
| Taylor B Doberstein | Rheumatology | Thedacare Incorporated | 200 Theda Clark Medical Plaza, Suite 350, Neenah, WI 54956-2790 |
| Rachel A Savage | Nurse Practitioner | Thedacare Incorporated | 400 S Maple St, Black Creek, WI 54106-9787 |
| Street Address |
225 MEMORIAL DR |
| City | BERLIN |
| State | WI |
| Zip | 54923-1243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica J Tomasiewicz | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Daniel K Lemberger | Nurse Practitioner | Thedacare Incorporated | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Tony D Singh | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Keith A Krause | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Horace P Lo | General Surgery | Thedacare Incorporated | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Kristen J Nickelatti | Nurse Practitioner | Thedacare Incorporated | 225 Memorial Dr, Suite 2010, Berlin, WI 54923-1243 |
| Michelle L Lichtenberg | Nurse Practitioner | Thedacare Incorporated | 225 Memorial Dr, Suite 1100, Berlin, WI 54923-1243 |
| Mary Phung | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Robert G Sarsfield | Vascular Surgery | Thedacare Incorporated | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Thomas Simpkins | Certified Registered Nurse Anesthetist (crna) | Thedacare Medical Center- Berlin Inc | 225 Memorial Dr, Berlin, WI 54923-1243 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista M Solarek | Physician Assistant | Thedacare Incorporated | 191 Memorial Dr, Berlin, WI 54923-1241 |
| Lynn A Ringenoldus | Nurse Practitioner | Thedacare Incorporated | 191 Memorial Dr, Berlin, WI 54923-1241 |
| David R Jones | Orthopedic Surgery | Thedacare Incorporated | 191 Memorial Dr, Berlin, WI 54923-1241 |
| Eric W Newgent | Family Practice | Thedacare Incorporated | 191 Memorial Dr, Berlin, WI 54923-1241 |
| Craig S Chertack | Orthopedic Surgery | Thedacare Incorporated | 191 Memorial Dr, Suite 200, Berlin, WI 54923-1241 |
| Tammi L Sawallish | Optometry | Berlin Family Eye Care Sc | 269 Memorial Dr, Suite 103, Berlin, WI 54923-1243 |
| Douglas A Bartelt | Nurse Practitioner | The Neuroscience Group of Northeast Wisconsin Sc | 191 Memorial Dr, Berlin, WI 54923-1243 |
| Juan A Albino Rodriguez | Physical Medicine and Rehabilitation | The Neuroscience Group of Northeast Wisconsin Sc | 191 Memorial Dr, Berlin, WI 54923-1243 |
| Abigail K Puglisi | Family Medicine | Thedacare Incorporated | 225 Memorial Dr, Suite 1200, Berlin, WI 54923-1243 |
| Effie E Siomos | Obstetrics/gynecology | Womens Care of Wisconsin Sc | 225 Memorial Dr, Suite 2030, Berlin, WI 54923-1243 |
| Find all physicians in zip 54923 | |||
| City | BERLIN |
| Zip Code | 54923 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BERLIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Julie R Fredrick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.