Destiny Yvonne Frazier, - Medicare Nurse Practitioner in Jacksonville, AR

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Destiny Yvonne Frazier, is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Arkansas. Her current practice location is 1012 Puritan Dr, Jacksonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 313-8119.

Destiny Yvonne Frazier is licensed to practice in Arkansas (license number 218640) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164175303.

Contact Information

Destiny Yvonne Frazier,
1012 Puritan Dr,
Jacksonville, AR 72076-6081
(501) 313-8119
Not Available

Map and Direction




Provider's Profile

Full NameDestiny Yvonne Frazier
GenderFemale
SpecialityNurse Practitioner - Family
Location1012 Puritan Dr, Jacksonville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164175303
  • Provider Enumeration Date: 01/28/2022
  • Last Update Date: 01/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062890049
  • Enrollment ID: I20220602002821

Medical Identifiers

Medical identifiers for Destiny Yvonne Frazier such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164175303NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 218640 (Arkansas)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. Destiny Yvonne Frazier allows following entities to bill medicare on her behalf.
Entity NameBradley Bibb Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699097436
PECOS PAC ID: 4789715285
Enrollment ID: O20100628000488
Entity NameAccess Medical Clinic Arkansas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578007647
PECOS PAC ID: 5890077093
Enrollment ID: O20170124001288
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190913002365
Entity NameAccess Medical Clinic Arkansas Ltc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114578929
PECOS PAC ID: 0547618175
Enrollment ID: O20231208000065

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. Destiny Yvonne 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 AddressPractice Location Address
Destiny Yvonne Frazier,
1012 Puritan Dr,
Jacksonville, AR 72076-6081

Ph: (501) 313-8119		Destiny Yvonne Frazier,
1012 Puritan Dr,
Jacksonville, AR 72076-6081

Ph: (501) 313-8119

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.