Mr Robin Alan Fry, PA-C in Coulterville, CA - Medicare Physician Assistant

Mr Robin Alan Fry, PA-C - Medicare Physician Assistant in Coulterville, CA

Mr Robin Alan Fry, PA-C is a medicare enrolled "Physician Assistant" in Coulterville, California. His current practice location is 6386 Greeley Hill Rd, Northside Clinic, Coulterville, California. You can reach out to his office (for appointments etc.) via phone at (209) 878-0155.

Mr Robin Alan Fry is licensed to practice in Montana (license number 446) 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 1518074178.

Contact Information

	Mr Robin Alan Fry, PA-C
	6386 Greeley Hill Rd, Northside Clinic, Coulterville, CA 95311
	(209) 878-0155
	(209) 878-0145

Map and Direction

Provider's Profile

Full Name	Mr Robin Alan Fry
Gender	Male
Speciality	Physician Assistant
Location	6386 Greeley Hill Rd, Coulterville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518074178
Provider Enumeration Date: 08/23/2006
Last Update Date: 01/22/2019

Medicare PECOS Information:

PECOS PAC ID: 3173769114
Enrollment ID: I20140716001439

Medical Identifiers

Medical identifiers for Mr Robin Alan Fry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518074178	NPI	-	NPPES
PENDING	Medicaid	MT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	446 (Montana)	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. Mr Robin Alan Fry 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 Robin Alan Fry, PA-C 6386 Greeley Hill Road, Northside Clinic, Coulterville, CA 95311 Ph: (209) 878-0155	Mr Robin Alan Fry, PA-C 6386 Greeley Hill Rd, Northside Clinic, Coulterville, CA 95311 Ph: (209) 878-0155