Michael D Fryar, FNP in Cleveland, TN - Medicare Nurse Practitioner

Michael D Fryar, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Tennessee. His current practice location is 915 Clingan Ridge Dr Nw, Cleveland, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 339-3340.

Michael D Fryar is licensed to practice in Tennessee (license number 30795) 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 1578229373.

Contact Information

	Michael D Fryar, FNP
	915 Clingan Ridge Dr Nw, Cleveland, TN 37312-3729
	(423) 339-3340
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael D Fryar
Gender	Male
Speciality	Nurse Practitioner - Family
Location	915 Clingan Ridge Dr Nw, Cleveland, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578229373
Provider Enumeration Date: 11/16/2021
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 8325428071
Enrollment ID: I20220712001532

Medical Identifiers

Medical identifiers for Michael D Fryar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578229373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	30795 (Tennessee)	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. Michael D Fryar allows following entities to bill medicare on his behalf.

Entity Name	Tennessee Kidney Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073963716 PECOS PAC ID: 2860780459 Enrollment ID: O20161014000293

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. Michael D Fryar 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
Michael D Fryar, FNP Po Box 3877, Joliet, IL 60434-3877 Ph: (815) 714-7171	Michael D Fryar, FNP 915 Clingan Ridge Dr Nw, Cleveland, TN 37312-3729 Ph: (423) 339-3340

Reviews and Comments

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Michael D Fryar, FNP - Medicare Nurse Practitioner in Cleveland, TN