Dr John Temple Fraker, MD is a medicare enrolled "Otolaryngology" physician in Lutz, Florida. His current practice location is
4211 Vandyke Road, Suite 200, Lutz, Florida. You can reach out to his office (for appointments etc.) via phone at
(813) 264-6490.
Dr John Temple Fraker is licensed to practice in Florida (license number ME72120) 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 1205822384.
Physician's Profile
| Full Name | Dr John Temple Fraker |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 4211 Vandyke Road, Lutz, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205822384
- Provider Enumeration Date: 09/23/2005
- Last Update Date: 08/20/2014
Medicare PECOS Information:
- PECOS PAC ID: 2163441635
- Enrollment ID: I20090211000437
Medical Identifiers
Medical identifiers for Dr John Temple Fraker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205822384 | NPI | - | NPPES |
| 023179886 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | ME72120 (Florida) | Primary |
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 John Temple Fraker allows following entities to bill medicare on his behalf.
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786 |
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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 John Temple Fraker 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 |
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Dr John Temple Fraker, MD
4902 Eisenhower Blvd., Suite 300,
Tampa, FL 33634-6344
Ph: (813) 636-2000 | Dr John Temple Fraker, MD
4211 Vandyke Road, Suite 200,
Lutz, FL 33558-8002
Ph: (813) 264-6490 |
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