STEPHANIE GRACE DIBBLE FREDERICKS PA-C
NPI 1326546862
Physician Assistant - Medical in Waterbury, CT
About Stephanie Grace Dibble Fredericks Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE GRACE DIBBLE FREDERICKS PA-C (NPI 1326546862) is an individual medical provider in Waterbury, Connecticut and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephanie Grace Dibble Fredericks Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERBURY, CT 06706
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stephanie Fredericks's NPI number?
The NPI number for Stephanie Fredericks is 1326546862. It was assigned to this individual provider in the NPPES registry on January 30, 2018. The provider is also known as Stephanie Grace Dibble Pa-C.
Where is Stephanie Fredericks located?
Stephanie Fredericks practices at 56 Franklin St, Waterbury, CT 06706. The listed phone number is (203) 709-6000.
What is Stephanie Fredericks's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Stephanie Fredericks enrolled in Medicare?
Yes. Stephanie Fredericks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Stephanie Fredericks accept?
Health plans from Anthem Blue Cross and Blue Shield list Stephanie Fredericks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stephanie Fredericks was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stephanie Grace Dibble Fredericks, PA-C · NPI 1326546862
Medical physician in Waterbury, Connecticut. Individual provider, active in the CMS NPPES registry since January 30, 2018.
## Identity
- **NPI:** 1326546862 (Entity type: Individual)
- **Enumerated:** January 30, 2018
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 56 FRANKLIN ST, Waterbury, CT 06706-1253
- **Phone:** (203) 709-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1326546862) · Data from the CMS NPPES public registry.