Ellis Frazier, MD is a medicare enrolled "Family Medicine" physician in Piketon, Ohio. His current practice location is
100 Indian Ridge Dr, Piketon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 289-1548.
Ellis Frazier is licensed to practice in Ohio (license number 35052676F) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245228196.
Physician's Profile
| Full Name | Ellis Frazier |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 100 Indian Ridge Dr, Piketon, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ellis Frazier attended and graduated from in
NPI Data:
- NPI Number: 1245228196
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 11/25/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ellis Frazier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245228196 | NPI | - | NPPES |
| 0720769 | Medicaid | OH | |
| 2534182 | Other | | CIGNA |
| 000000281343 | Other | OH | UNISON |
| 000000634422 | Other | | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 35052676F (Ohio) | Primary |
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. Ellis Frazier 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 |
|---|
Ellis Frazier, MD
100 Indian Ridge Dr,
Piketon, OH 45661-9654
Ph: (740) 289-1548 | Ellis Frazier, MD
100 Indian Ridge Dr,
Piketon, OH 45661-9654
Ph: (740) 289-1548 |
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