Dr David K Fry, MD in Greenville, TX

Dr David K Fry, MD is a medicare enrolled "Pediatrics" physician in Greenville, Texas. His current practice location is 4311 Wesley St, Greenville, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 455-4458.

Dr David K Fry is licensed to practice in Texas (license number J2568) 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 1114910379.

Contact Information

	Dr David K Fry, MD
	4311 Wesley St, Greenville, TX 75401-5639
	(903) 455-4458
	(903) 455-1604

Map and Direction

Physician's Profile

Full Name	Dr David K Fry
Gender	Male
Speciality	Pediatrics
Location	4311 Wesley St, Greenville, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114910379
Provider Enumeration Date: 08/23/2005
Last Update Date: 07/08/2015

Medicare PECOS Information:

PECOS PAC ID: 4981655990
Enrollment ID: I20150413001953

Medical Identifiers

Medical identifiers for Dr David K Fry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114910379	NPI	-	NPPES
130762108	Medicaid	TX
401696YK7L	Other	TX	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	J2568 (Texas)	Primary
208000000X	Pediatrics	14506 (Nebraska)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David K Fry allows following entities to bill medicare on his behalf.

Entity Name	Community Health Service Agency, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700067253 PECOS PAC ID: 6305735150 Enrollment ID: O20040612000279

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 David K Fry 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
Dr David K Fry, MD Po Box 1908, Greenville, TX 75403-1908 Ph: (903) 454-3025	Dr David K Fry, MD 4311 Wesley St, Greenville, TX 75401-5639 Ph: (903) 455-4458

Reviews and Comments

Pediatrics Doctors in Greenville, TX

Kristi Whitenton, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3005 Joe Ramsey Blvd E, Greenville, TX 75401 Phone: 903-455-4458 Fax: 903-455-1604
Dr. Barry L Justice, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4818 Wellington St, Suite 1, Greenville, TX 75402 Phone: 903-455-3261 Fax: 903-455-0211
Dr. Amardeep K Sandhu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4211 Joe Ramsey Blvd E Ste 213, Greenville, TX 75401 Phone: 903-408-7780 Fax: 903-408-7840
Dr. Lori Renee Allembaugh, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4818 Wellington St, Suite 1, Greenville, TX 75402 Phone: 903-455-3261 Fax: 903-455-0211
Dr. Jennifer Maureen Varghese, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5101 Wellington St Ste C, Greenville, TX 75402 Phone: 903-455-3261 Fax: 903-455-0211
Alison Sajan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4400 I 30 W Ste 110, Greenville, TX 75402 Phone: 469-800-3600

Dr David K Fry, MD - Medicare Pediatrics in Greenville, TX