Individual ProviderFrederick FiesselerEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address100 Madison Ave, Morristown, NJ 07960-6136(800) 290-5309PECOS EnrollmentBased on the most recent information from CMS, provider Frederick Fiesseler is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1033177415Provider TypeIndividualFull NameFiesseler, FrederickCredentialD.O.GenderMaleSole ProprietorNoEnumeration Date5/3/2006Last Updated10/18/2012Contact InformationPractice LocationPractice Address100 Madison Ave, Morristown, NJ 07960-6136Phone(800) 290-5309Fax(803) 434-4354Mailing LocationMailing AddressPO Box 7313, Columbia, SC 29202-7313Phone(800) 290-5309Fax(803) 434-4354Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseMB71344New JerseyProvider IdentifiersIDDescriptionIssuerID8363706DescriptionMedicaidIssuerUnlistedNew Jersey