Dustin Clyde Frazier, MD | |
16000 Johnston Memorial Dr, Suite 100, Abingdon, VA 24211-7664 | |
(276) 258-1760 | |
(276) 258-1765 |
Full Name | Dustin Clyde Frazier |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396799326 | NPI | - | NPPES |
1396799326 | Medicaid | VA | |
P01555089 | Other | VA | RAILROAD MEDICARE |
100141830A | Medicaid | OK | |
031314002 | Medicaid | TX | |
Q003659 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | H2382 (Texas) | Secondary |
207X00000X | Orthopaedic Surgery | 0101255163 (Virginia) | Primary |
Entity Name | Blue Ridge Medical Management Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
Entity Name | Abingdon Physician Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306944350 PECOS PAC ID: 5991705667 Enrollment ID: O20070102000365 |
Mailing Address | Practice Location Address |
---|---|
Dustin Clyde Frazier, MD 16000 Johnston Memorial Dr, Suite 100, Abingdon, VA 24211-7664 Ph: (276) 258-1760 | Dustin Clyde Frazier, MD 16000 Johnston Memorial Dr, Suite 100, Abingdon, VA 24211-7664 Ph: (276) 258-1760 |
David Andrew Forsythe, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 16000 Johnston Memorial Dr, Suite 100, Abingdon, VA 24211 Phone: 276-258-1760 Fax: 276-258-1765 | |
Dr. Stephanie H Alford, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 16000 Johnston Memorial Dr, Suite 100, Abingdon, VA 24211 Phone: 276-258-1760 Fax: 276-258-1765 | |
Phillip Sussman, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 16000 Johnston Memorial Dr Ste 100, Abingdon, VA 24211 Phone: 276-477-1443 | |
Dr. John Patrick Cody, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 16000 Johnston Memorial Dr, Suite 100, Abingdon, VA 24211 Phone: 276-258-1760 Fax: 276-258-1765 |