Jessica Frazo, PNP | |
2 Rubin Dr, Rushville, NY 14544-9681 | |
(585) 554-4400 | |
Not Available |
Full Name | Jessica Frazo |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 2 Rubin Dr, Rushville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275695983 | NPI | - | NPPES |
02073605 | Medicaid | NY | |
P109381105 | Other | NY | BLUE CROSS |
109567DL | Other | NY | PREFERRED CARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | F3326901 (New York) | Primary |
Entity Name | Mosaic Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528428208 PECOS PAC ID: 4385826585 Enrollment ID: O20110309000547 |
Mailing Address | Practice Location Address |
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Jessica Frazo, PNP 1 S Washington St Ste 300, Rochester, NY 14614-1134 Ph: (585) 325-2280 | Jessica Frazo, PNP 2 Rubin Dr, Rushville, NY 14544-9681 Ph: (585) 554-4400 |
Dr. Sarah R Russell, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Rubin Dr, Rushville, NY 14544 Phone: 585-554-4400 | |
Mr. Lee Bernard Lande, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Rubin Dr, Rushville, NY 14544 Phone: 585-554-4400 | |
Samantha M Glarner, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Rubin Dr, Rushville, NY 14544 Phone: 585-554-4400 Fax: 585-554-3342 |