Mary Sheppard Fries, RN is a
Nurse's Aide based in Homer, Alaska. Mary Sheppard Fries is licensed to practice in Alaska (license number HH2711) and her current practice location is
451 Sterling Hwy, Homer, Alaska. She can be reached at her office (for appointments etc.) via phone at
(907) 235-0369.
NPI number for Mary Sheppard Fries is 1710017140 and her current mailing address is 4300 Bartlett St, Homer, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710017140.
Provider's Profile
| Full Name | Mary Sheppard Fries |
|---|
| Gender | Female |
|---|
| Speciality | Nurse's Aide |
|---|
| Location | 451 Sterling Hwy, Homer, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710017140
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mary Sheppard Fries such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710017140 | NPI | - | NPPES |
| HH2711 | Medicaid | AK | |
| CMG799 | Medicaid | AK | |
| MSO272 | Medicaid | AK | |
| NA3799 | Medicaid | AK | |
| HC2563 | Medicaid | AK | |
| PCG519A | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WH0200X | Registered Nurse - Home Health | HH2711 (Alaska) | Primary |
| 171M00000X | Case Manager/care Coordinator | CMG799 (Alaska) | Primary |
| 171WH0202X | Contractor - Home Modifications | HC2563 (Alaska) | Primary |
| 372500000X | Chore Provider | HC2563 (Alaska) | Primary |
| 3747P1801X | Technician - Personal Care Attendant | PCG519A (Alaska) | Primary |
| 374U00000X | Home Health Aide | HH2711 (Alaska) | Primary |
| 376K00000X | Nurse's Aide | HH2711 (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. Mary Sheppard Fries is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Sheppard Fries, RN
4300 Bartlett St,
Homer, AK 99603-7005
Ph: (907) 235-0369 | Mary Sheppard Fries, RN
451 Sterling Hwy,
Homer, AK 99603-7440
Ph: (907) 235-0369 |
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