DR. WAYNE ANTHONY FREDERICKSON D.D.S. - NPI 1124172259

Q: What is Wayne Frederickson's NPI number?

The NPI number for Wayne Frederickson is 1124172259. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Wayne Frederickson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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About Dr. Wayne Anthony Frederickson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WAYNE ANTHONY FREDERICKSON D.D.S. (NPI 1124172259) is an individual general practice provider in Livingston, Montana, licensed in Montana (2104) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124172259

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. WAYNE ANTHONY FREDERICKSONCredential: D.D.S.

Location Address422 S MAIN STLivingston, MT 59047-3456

Mailing Address422 S Main StLivingston, MT 59047-3456 · (406) 222-6061 · Fax (406) 222-6062

Phone(406) 222-6061

Fax(406) 222-6062

Sole ProprietorNo

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124172259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MT · 2104

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

422 S MAIN ST, Livingston, MT 59047

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Other Identifiers 2

Medicaid0112795MT

Other5512312MT · Chip

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wayne Anthony Frederickson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$70.82 typical visit price

range $18.24 – $140.32

Typical copayment $17.70 (range $4.56 – $35.08)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY A JAGODZINSKI DDS

Dentist (General Practice)