Dr Jerry Evan Frasure, DMD is a
Dentist - General Practice based in Cedarville, Ohio. Dr Jerry Evan Frasure is licensed to practice in Ohio (license number 15428) and his current practice location is
400 N Main St, Cedarville, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 766-5207.
NPI number for Dr Jerry Evan Frasure is 1013075282 and his current mailing address is 400 N Main St, Cedarville, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013075282.
Healthcare Provider's Profile
| Full Name | Dr Jerry Evan Frasure |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 400 N Main St, Cedarville, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013075282
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jerry Evan Frasure such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013075282 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 15428 (Ohio) | 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. Dr Jerry Evan Frasure 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 |
|---|
Dr Jerry Evan Frasure, DMD
400 N Main St,
Cedarville, OH 45314
Ph: (937) 766-5207 | Dr Jerry Evan Frasure, DMD
400 N Main St,
Cedarville, OH 45314
Ph: (937) 766-5207 |
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