Jonathan G Fraley, PA is a medicare enrolled "Physician Assistant" in Delta Junction, Alaska. His current practice location is
2730 Alaska Highway, Delta Junction, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 895-6233.
Jonathan G Fraley is licensed to practice in Alaska (license number 1197) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386622835.
Provider's Profile
| Full Name | Jonathan G Fraley |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 2730 Alaska Highway, Delta Junction, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386622835
- Provider Enumeration Date: 01/05/2006
- Last Update Date: 02/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 0244258697
- Enrollment ID: I20140929002810
Medical Identifiers
Medical identifiers for Jonathan G Fraley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386622835 | NPI | - | NPPES |
| PA25814 | Other | OH | MEDICARE PTAN |
| PA25815 | Other | OH | MEDICARE PTAN |
| 0075450 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 50002345 (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 1197 (Alaska) | 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. Jonathan G Fraley 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 |
|---|
Jonathan G Fraley, PA
Po Box 5, Mile 187 Glenn Highway,
Glennallen, AK 99588-0005
Ph: (907) 822-3203 | Jonathan G Fraley, PA
2730 Alaska Highway,
Delta Junction, AK 99737-0285
Ph: (907) 895-6233 |
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