Elizabeth R Frazier, APRN | |
1135 Broadway St, South Fulton, TN 38257-2835 | |
(731) 479-2606 | |
(731) 479-2610 |
Full Name | Elizabeth R Frazier |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 29 Years |
Location | 1135 Broadway St, South Fulton, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699789305 | NPI | - | NPPES |
1531866 | Medicaid | TN | |
78008224 | Medicaid | KY | |
103I500412 | Other | TN | MEDICARE B-TN |
295172 | Other | KY | BCBS |
4060375 | Other | TN | BCBS TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2205P (Kentucky) | Secondary |
363L00000X | Nurse Practitioner | 6339 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Volunteer Community Hospital | Martin, TN | Hospital |
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Martin Health | 5193070613 | 7 |
Entity Name | Martin Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669876520 PECOS PAC ID: 5193070613 Enrollment ID: O20180925003822 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth R Frazier, APRN 1135 Broadway St, South Fulton, TN 38257-2835 Ph: (731) 479-2606 | Elizabeth R Frazier, APRN 1135 Broadway St, South Fulton, TN 38257-2835 Ph: (731) 479-2606 |
Ms. Pamela Suzette Milam, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 West State Line Rd., South Fulton, TN 38257 Phone: 731-479-2112 Fax: 731-479-2116 | |
Finley W Leslie, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 Broadway St, South Fulton, TN 38257 Phone: 731-479-2606 |