Kendall Frazier, DDS is a medicare enrolled "Dentist - General Practice" provider in Fruit Cove, Florida. His current practice location is
445 State Road 13 Ste 22, Fruit Cove, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 209-6590.
Kendall Frazier is licensed to practice in Florida (license number DN22656) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508386475.
Healthcare Provider's Profile
Full Name | Kendall Frazier |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 445 State Road 13 Ste 22, Fruit Cove, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508386475
- Provider Enumeration Date: 06/22/2017
- Last Update Date: 06/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 9436420312
- Enrollment ID: I20170810003682
Medical Identifiers
Medical identifiers for Kendall Frazier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508386475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DN22656 (Florida) | 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. Kendall Frazier is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kendall Frazier, DDS 3964 Jebb Island Cir E, Jacksonville, FL 32224-7900 Ph: (317) 408-6304 | Kendall Frazier, DDS 445 State Road 13 Ste 22, Fruit Cove, FL 32259-2821 Ph: (904) 209-6590 |
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