Sueretta Fry, is a
Counselor based in Omaha, Nebraska. Sueretta Fry is licensed to practice in Nebraska (license number 13068) and her current practice location is
2101 S 42nd St, Omaha, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 553-3000.
NPI number for Sueretta Fry is 1982388815 and her current mailing address is 2101 S 42nd St, Omaha, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982388815.
Healthcare Provider's Profile
Full Name | Sueretta Fry |
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Gender | Female |
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Speciality | Counselor |
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Location | 2101 S 42nd St, Omaha, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982388815
- Provider Enumeration Date: 06/12/2023
- Last Update Date: 06/12/2023
Medical Identifiers
Medical identifiers for Sueretta Fry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982388815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 7747 (Nebraska) | Secondary |
101Y00000X | Counselor | 13068 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sueretta Fry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sueretta Fry, 2101 S 42nd St, Omaha, NE 68105-2909 Ph: (402) 553-3000 | Sueretta Fry, 2101 S 42nd St, Omaha, NE 68105-2909 Ph: (402) 553-3000 |
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