Dr Edward Kent Frye, MD | |
455 W Court St, Ste 403, Kankakee, IL 60901-3679 | |
(815) 939-3190 | |
(815) 935-5101 |
Full Name | Dr Edward Kent Frye |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 38 Years |
Location | 455 W Court St, Kankakee, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952392557 | NPI | - | NPPES |
03081908 | Medicaid | IL | |
IL1789 | Other | IL | MEDICARE GROUP PTAN |
IL1789002 | Other | IL | MEDICARE PTAN |
4600208 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036081908 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence St Marys Hospital | Kankakee, IL | Hospital |
Riverside Medical Center | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presence Healthcare Services | 2860396769 | 317 |
Entity Name | United Shockwave Services Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Kent Frye, MD 455 W Court St, Ste 403, Kankakee, IL 60901-3679 Ph: (815) 939-3190 | Dr Edward Kent Frye, MD 455 W Court St, Ste 403, Kankakee, IL 60901-3679 Ph: (815) 939-3190 |
Dr. Joel N Slutsky, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 375 N Wall St, Ste P530, Kankakee, IL 60901 Phone: 815-937-4006 Fax: 815-937-3850 | |
Bipinchandra N Bhayani, M.D. Urology Medicare: Medicare Enrolled Practice Location: 455 W Court St, Suite #403, Kankakee, IL 60901 Phone: 815-939-3190 Fax: 815-935-5101 | |
Dr. Sam Joseph Brancato, M.D., M.S. Urology Medicare: Not Enrolled in Medicare Practice Location: 455 W Court St Ste 403, Kankakee, IL 60901 Phone: 815-939-3190 | |
Dr. Joseph Benedict Pigato, M. D. Urology Medicare: Accepting Medicare Assignments Practice Location: 455 W Court St, Suite 403, Kankakee, IL 60901 Phone: 815-937-2122 Fax: 815-937-2102 |