Individual ProviderKayla Ann FrederickCase Manager/Care CoordinatorOther Service ProvidersPractice Address2601 Tulane Ave Ste 300, New Orleans, LA 70119(504) 570-6120PECOS EnrollmentBased on the most recent information from CMS, provider Kayla Ann Frederick does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1841648177Provider TypeIndividualFull NameFrederick, Kayla AnnCredentialM.S.WGenderFemaleSole ProprietorNoEnumeration Date5/26/2016Last Updated7/10/2020Contact InformationPractice LocationPractice Address2601 Tulane Ave Ste 300, New Orleans, LA 70119Phone(504) 570-6120FaxUnlisted FaxMailing LocationMailing Address2601 Tulane Ave Ste 300, New Orleans, LA 70119-7499Phone(504) 570-6120FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1841648177DescriptionMedicaidIssuerUnlistedLouisiana