Edward Fairfax Frost, MD | |
109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094-7400 | |
(262) 928-5100 | |
Not Available |
Full Name | Edward Fairfax Frost |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 26 Years |
Location | 109 Air Park Dr, Watertown, Wisconsin |
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 |
---|---|---|---|
1184698227 | NPI | - | NPPES |
02271603 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 52228 (Wisconsin) | Primary |
208000000X | Pediatrics | 52228 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Waukesha Memorial Hospital | Waukesha, WI | Hospital |
Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
Watertown Memorial Hospital | Watertown, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prohealth Medical Group Inc | 3476465188 | 416 |
Entity Name | Prohealth Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
---|---|
Edward Fairfax Frost, MD 109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094-7400 Ph: (262) 928-5100 | Edward Fairfax Frost, MD 109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094-7400 Ph: (262) 928-5100 |
Mr. Moazam Jah Samdani, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 123 Hospital Dr, Suite 2009, Watertown, WI 53098 Phone: 920-262-9833 Fax: 920-262-9834 | |
Dr. Zachary Richardson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-245-5741 | |
Mohamed H Yafai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Drive, Suite 2009, Watertown, WI 53098 Phone: 920-262-9833 Fax: 920-262-9834 | |
Alan L. Detwiler, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4210 |