ANDREW WALLACE FREEBORN PA
NPI 1508190851
Physician Assistant - Surgical in Traverse City, MI

NPI Status: Active since September 18, 2009

Contact Information

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-7514
Fax: (231) 392-0039

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  • Individual
  • Male
  • Years of Experience 17
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANDREW FREEBORN

This page provides the complete NPI Profile along with additional information for Andrew Freeborn, a provider established in Traverse City, Michigan with a medical specialization in Physician Assistant, focusing in surgical and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1508190851 assigned on September 2009. The practitioner's primary taxonomy code is 363AS0400X with license number 5601005642 (MI). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1508190851
Provider Name
ANDREW WALLACE FREEBORN PA
Gender
Male
Entity Type
Individual
Location Address
1105 SIXTH ST TRAVERSE CITY, MI 49684
Location Phone
(231) 935-7514
Location Fax
(231) 392-0039
Mailing Address
1105 SIXTH ST TRAVERSE CITY, MI 49684
Mailing Phone
(231) 935-7514
Mailing Fax
(231) 392-0039
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
No
Enumeration Date
09-18-2009
Last Update Date
01-10-2025
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Location Map

Secondary Locations

  • 4045 W Royal Dr
    Traverse City, MI 49684
    (231) 935-0900
  • 1221 Sixth St Ste 100
    Traverse City, MI 49684
    (231) 392-8400
  • 1221 Sixth St Ste 300
    Traverse City, MI 49684
    (231) 935-0322
  • 217 S Madison St
    Traverse City, MI 49684
    (231) 392-8400
  • 3537 W Front St
    Traverse City, MI 49684
    (231) 935-5880
  • 1345 E Parkdale Ave
    Manistee, MI 49660
    (231) 398-1750
  • 8872 Professional Dr Ste B
    Cadillac, MI 49601
    (231) 779-0320

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601005642
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Andrew Freeborn is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Andrew Freeborn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6901944453

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20091104000034

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Knee replacement

A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.

This service was performed for 1-10 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 15 times for 15 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 13 times for 13 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Freeborn is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MUNSON MEDICAL CENTER1105 SIXTH STREET
TRAVERSE CITY, MI 49684
(231) 935-5000Acute Care Hospitals

Reviews for ANDREW WALLACE FREEBORN PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508190851
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508290810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 2 + 9 + 0 + 8 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1508190851 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. AMY DENISE ROBERTSON MD

Internal Medicine

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-5000

PATRICIA A HOBAN NP

Nurse Practitioner

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6520

THOMAS MCELWEE MD

Internal Medicine

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-5000

DR. BRIAN ALLEN LISHAWA M.D.

Internal Medicine

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 922-9270

GRETA PECK PA-C

Physician Assistant

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6520

DR. MATTHEW ROBERT CODY M.D.

Internal Medicine

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 922-9270

ROBYN CHRISTINE YATES FNP

Nurse Practitioner

(Family)

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-5000

BENJAMIN GORDON LAMPHERE M.D.

Internal Medicine

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-5000

MRS. KAREN C HOCKING RPH

Pharmacist

(Pharmacotherapy)

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6581

BRIDGET MARY KLAASEN MA

Counselor

(Professional)

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6382

MRS. MICHELLE K HEARN PHARM.D.

Pharmacist

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6581

MR. JAMES A. LOHR CSW

Social Worker

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6382

MARY KLYM ACSW,LMSW

Counselor

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6911

HEIDI A DAVIDSON RPH

Pharmacist

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6581

MARTIN HELMUT KOCAN RPH

Pharmacist

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6581

MARK W HEINDL RPH

Pharmacist

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6621

THOMAS STEDMAN GILBERT M.A.

Counselor

(Addiction (Substance Use Disorder))

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6215

DEBORAH MAE MARSHALL LPN

Counselor

(Addiction (Substance Use Disorder))

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-6215

JUDY DUNMIRE RPH

Pharmacist

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-5650

KATHLEEN A BECKER RPH

Pharmacist

1105 SIXTH ST
TRAVERSE CITY, MI
ZIP 49684

(231) 935-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508190851, enumerated as an "individual" on September 18, 2009.

The provider is located at 1105 SIXTH ST TRAVERSE CITY, MI 49684 and the phone number is (231) 935-7514.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Andrew Freeborn is affiliated with: MUNSON MEDICAL CENTER.