Frederick J Dressen, DO
Individual provider Active NPI Surgery Physician · Murphysboro, IL
NPI 1932159100 · NPPES record last updated Apr 11, 2012
Key facts
- NPI
- 1932159100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 036075922 (IL)
- Practice address
- 6 E Shawnee Dr
Murphysboro, IL 62966-7048 - Phone
- (618) 684-1035
- Fax
- (618) 687-1155
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Chicago College of Osteopathy, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Expert Wound LLC
Practice addresses (Care Compare)
406 W S Jordan Pkwy
Suite 450
South Jordan, UT 84095-3946
Phone (801) 919-3008
Hospital & facility affiliations
- Symbii Hospice South
- Suncrest Hospice
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140306001012 | UT | Practitioner - General Surgery | 4880504240 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036075922 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expert Wound LLC | Current |
Accepting new patients | |
| Conti-Care, LLC | Current |
Accepting new patients | |
| Innovation Medical Group PC | Surgery | Current |
Accepting new patients |
| Precision Medical Care LLC | Current |
Accepting new patients | |
| Taylor G Wright PC | Past |
Accepting new patients |
Locations
836 S Angel St
Ste 102
Layton, UT 84041
Phone (435) 291-1375
1633 W Innovation Way
Fl 5
Lehi, UT 84043
Phone (801) 699-6344
6405 S 3000 E
Ste 300
Salt Lake Cty, UT 84121
Phone (801) 266-5113
406 W South Jordan Pkwy
Ste 450
South Jordan, UT 84095
Phone (801) 561-8398
Interoperability endpoints
- fdressen@twd-ut.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036075922 | IL | Yes |
Addresses
Primary practice location
6 E Shawnee Dr
Murphysboro, IL 62966-7048
Mailing address
PO Box 1105
Indianapolis, IN 46206-1105
Phone (618) 549-5361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360759222 | Medicaid | IL | |
| 3932056 | Other | IL | BCBS |
| 26708 | Other | IL | HEALTH ALLIANCE |
| 7210895 | Other | IL | AETNA |
| 269604 | Other | IL | HEALTHLINK |
| 319208 | Other | IL | GHP |
Other providers in Murphysboro, IL
- Natasha Rene Davis
- Jeffrey G. Deterding
- Developmental Planning & Services Inc
- Zachary Donsbach
- Mark T Donvito
- Kristy Jill Dunning
- Steve Eberhart
- Lauren Petrice Eisele
- Cheryl Ellis
- Evan T Belfer MD SC
All providers in Murphysboro, IL · Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2012. 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.
- 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.