Fred Reifsteck III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0327979 Issued in IL

Practice address

55 Carlton St
Athens, GA 30602-1526

Phone

(706) 542-8621

Fax

(706) 583-0217

NPI assigned

Feb 4, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Board of Regents of the University System of Georgia 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Board of Regents of the University System of Georgia

  • Audiologist
  • Athens, GA
  • NPI 1376640557

  GA

  Medicare reassignment Care Compare group NPD
• Board of Regents of the University System of Georgia

  • Pharmacy
  • Athens, GA
  • NPI 1629394820
  NPD
• The Doctor'S Office, LLC

  • Family Medicine Physician
  • Stockbridge, GA
  • NPI 1578884516

  Family Medicine

  NPD (past)
• University Health Center, University of Ga Health Center Pharmacy

  • Pharmacist
  • Athens, GA
  • NPI 1558435784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1801074604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021526",
            "telephone_number": "706-542-8621",
            "fax_number": "706-583-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021526",
            "telephone_number": "706-542-8621",
            "fax_number": "706-583-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFSTECK",
        "first_name": "FRED",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "0327979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Julianna Reeves, OTR/L
• Regional Lab Outreach
• Bradley C Register, MD
• Leah Anne Reid, M.D.
• Nikolas Reid, M.ED.
• Scott P. Reinerth, LMFT
• Jared Patrick Reites, DPT, ATC
• Remain at Home Senior Care LLC
• Renewal Counseling & Consulting, LLC
• Michael George Rentschler, APC

• All providers in Athens, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.