Alice Anne Frazier, DO | |
100 Dawn Ln, Waverly, OH 45690-9138 | |
(740) 947-2186 | |
Not Available |
Full Name | Alice Anne Frazier |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 100 Dawn Ln, Waverly, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629036496 | NPI | - | NPPES |
000000552750 | Other | OH | ANTHEM/BCBS |
0143197 | Medicaid | OH | |
000000319938 | Other | BCBS | |
000000528249 | Other | OH | ANTHEM/BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34005990F (Ohio) | Primary |
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Entity Name | Ohio Emergency Professionals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982983425 PECOS PAC ID: 0547433328 Enrollment ID: O20111024000785 |
Mailing Address | Practice Location Address |
---|---|
Alice Anne Frazier, DO 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Alice Anne Frazier, DO 100 Dawn Ln, Waverly, OH 45690-9138 Ph: (740) 947-2186 |
Jay Bernstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Dawn Ln, Waverly, OH 45690 Phone: 740-947-2186 | |
Timothy Craig Mcglone, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 W Emmitt Ave, Waverly, OH 45690 Phone: 740-947-7662 Fax: 740-941-0099 |