Dr. Ruth Kellum Fredericks is a Jackson, Mississippi based neurologist with 37 years of experience in Neurology. She completed her graduation in 1987. She is also affiliated with hospitals like and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Ruth Kellum Fredericks is 11722 for Neurology in Mississippi. Her current practice location is 971 Lakeland Dr, Suite 557, Jackson. Patients can reach her at 601-200-4560 or can fax her at 601-326-4632. Dr. Ruth Kellum Fredericks is M.D. in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1730138843. Dr. Ruth Kellum Fredericks specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Dr. Ruth Kellum Fredericks speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Ruth Kellum Fredericks
Specialization:
Neurology
Gender:
Female
Credentials:
M.D.
Experience:
37+ years
Medical School Attended:
Other
Graduation Year:
1987
Accepts Medicare Assignment:
Yes
Practice Address:
971 Lakeland Dr, Suite 557, Jackson, Mississippi, 39216-4643
Phone:
601-200-4560
Fax:
601-326-4632
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7012947476
Enrollment ID:
I20071107000197
NPI Number:
1730138843
NPI Enumeration Date:
08 May, 2006
NPI Last Update On:
23 Dec, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ruth Kellum Fredericks are as mentioned below.
License Number
Specialization
State
Status
11722
Neurology
Mississippi
Primary
11722
Specialist
Mississippi
Secondary
COVID19-TMP-427
Neurology
Louisiana
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(250048)
Jackson, MS
Acute Care Hospital
(250102)
Jackson, MS
Acute Care Hospital
(251318)
Ruleville, MS
Critical Access Hospital
(250057)
Brookhaven, MS
Acute Care Hospital
(250152)
Jackson, MS
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Ruth Kellum Fredericks is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St. Dominic Medical Associates Llc (0446303168)
118
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ruth Kellum Fredericks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00113670
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Ruth Kellum Fredericks Po Box 23666, Jackson, Mississippi
Zip:
39225-3666
Phone Number:
601-200-4749
Fax Number:
601-200-5929
Patients can reach Dr. Ruth Kellum Fredericks at 971 Lakeland Dr, Suite 557, Jackson, Mississippi or can call to book an appointment on 601-200-4560.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.