Paul H Fry-miller, PA-C is a medicare enrolled "Physician Assistant" in North Manchester, Indiana. His current practice location is
1104 N Wayne St, North Manchester, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 982-2102.
Paul H Fry-miller is licensed to practice in Indiana (license number 10000057A) 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 1285613919.
Provider's Profile
Full Name | Paul H Fry-miller |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1104 N Wayne St, North Manchester, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285613919
- Provider Enumeration Date: 01/11/2006
- Last Update Date: 01/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355370842
- Enrollment ID: I20050804000949
Medical Identifiers
Medical identifiers for Paul H Fry-miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285613919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 10000057A (Indiana) | 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. Paul H Fry-miller 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 |
Paul H Fry-miller, PA-C 3702 New Vision Dr, Bldg B, Fort Wayne, IN 46845-1703 Ph: (260) 266-8211 | Paul H Fry-miller, PA-C 1104 N Wayne St, North Manchester, IN 46962-1001 Ph: (260) 982-2102 |
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