Mr Martin Innis Frazee Iii, NP in Woburn, MA - Medicare Nurse Practitioner

Mr Martin Innis Frazee Iii, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Woburn, Massachusetts. His current practice location is 800 W Cummings Park Ste 1800, Woburn, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 916-5069.

Mr Martin Innis Frazee Iii is licensed to practice in Massachusetts (license number RN2351899) 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 1548824089.

Contact Information

	Mr Martin Innis Frazee Iii, NP
	800 W Cummings Park Ste 1800, Woburn, MA 01801-6373
	(617) 916-5069
	(617) 467-4073

Map and Direction

Provider's Profile

Full Name	Mr Martin Innis Frazee Iii
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	800 W Cummings Park Ste 1800, Woburn, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548824089
Provider Enumeration Date: 04/30/2019
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3678920543
Enrollment ID: I20240226000027

Medical Identifiers

Medical identifiers for Mr Martin Innis Frazee Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548824089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2351899 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2351899 (Massachusetts)	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. Mr Martin Innis Frazee Iii allows following entities to bill medicare on his behalf.

Entity Name	Square Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356515464 PECOS PAC ID: 6608991187 Enrollment ID: O20100921000924

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. Mr Martin Innis Frazee Iii 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
Mr Martin Innis Frazee Iii, NP 800 W Cummings Park Ste 1800, Woburn, MA 01801-6373 Ph: (617) 916-5069	Mr Martin Innis Frazee Iii, NP 800 W Cummings Park Ste 1800, Woburn, MA 01801-6373 Ph: (617) 916-5069

Reviews and Comments

Nurse Practitioner Nurses in Woburn, MA

Rose Mushi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 W Cummings Park Ste 4700, Woburn, MA 01801 Phone: 781-224-0611 Fax: 781-224-1993
Mrs. Huong Nguyen Madrigal, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 New Boston St Ste U-168, Woburn, MA 01801 Phone: 781-941-6326 Fax: 781-987-8113
Debra Booth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 W Cummings Park Ste 1800, Woburn, MA 01801 Phone: 617-916-5069
Ms. Carol Ann Cirone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Fuller Farm Lane, Woburn, MA 01801 Phone: 781-939-5828 Fax: 781-939-5828
Ms. Jeanette M Richardson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Warren Ave, Suite 100, Woburn, MA 01801 Phone: 781-933-1198 Fax: 781-729-7504
Cassia Tibbles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Cerqua St, Woburn, MA 01801 Phone: 603-769-1542
Lindsay Mccarthy, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Alfred St, Baldwin Park Ii, Woburn, MA 01801 Phone: 781-933-6236

Mr Martin Innis Frazee Iii, NP - Medicare Nurse Practitioner in Woburn, MA