Fredrick J Bartoletti, M.D.
Individual provider Active NPI Emergency Medicine Physician · Anaconda, MT
NPI 1508989971 · NPPES record last updated May 21, 2018
Key facts
- NPI
- 1508989971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 11392 (MT)
- Practice address
- 401 W Pennsylvania Ave
Anaconda, MT 59711 - Phone
- (406) 563-8500
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 9
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of Washington School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Hospital of Anaconda
Practice addresses (Care Compare)
401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone (406) 563-8500
Hospital & facility affiliations
- Community Hospital of Anaconda
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Hospital of Anaconda |
Hospital | Corporate Director | Sep 1, 2016 |
| Community Hospital of Anaconda |
Hospital | Corporate Director | Sep 1, 2016 |
| Pintler Home Options - Pintler Home Health |
Home health agency | Corporate Director | Sep 1, 2016 |
| Pintler Home Options - Anaconda Pintler Hospice |
Hospice | Corporate Director | Sep 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070816000618 | MT | Practitioner - Emergency Medicine | 1557453883 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11392 | MT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Community Hospital of Anaconda | Current |
Accepting new patients | |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Community Hospital of Anaconda | Current |
Accepting new patients | |
| Clark Fork Emergency Physicians PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571
401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 11392 | MT | Yes |
Addresses
Primary practice location
401 W Pennsylvania Ave
Anaconda, MT 59711
Mailing address
401 W Pennsylvania Ave
Anaconda, MT 59711-1931
Phone (406) 563-8500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952826968 | Other | NPI | |
| 11392 | Other | MT | STATE LICENSE |
NPI Registry JSON
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1508989971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W PENNSYLVANIA AVE",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597111931",
"telephone_number": "406-563-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W PENNSYLVANIA AVE",
"city": "ANACONDA",
"state": "MT",
"postal_code": "59711",
"telephone_number": "406-563-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOLETTI",
"first_name": "FREDRICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "11392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1952826968",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "11392",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaconda, MT
- Paige Marie Bahr
- Emilee Jean Barnhart
- Stephanie Lynne Barrington
- Anthony Bartoletti
- Edward Antone Bartoletti
- Juliana Bartoletti
- Michelle C. Beausoleil
- Courtney Berge
- Linda L. Best
- Big Sky Radiology LTD
All providers in Anaconda, MT · Emergency Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.