Shy'ann Frazier, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Winston Salem, North Carolina. She graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Kinetic Phys Therapy And Wellness Inc and her current practice location is
601 S Martin Luther King Jr Dr Fl 432, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 750-3177.
Shy'ann Frazier is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407460355.
Healthcare Provider's Profile
| Full Name | Shy'ann Frazier |
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| Gender | Female |
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| Speciality | Occupational Therapy |
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| Experience | 2 Years |
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| Location | 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shy'ann Frazier graduated from medical school in 2022
NPI Data:
- NPI Number: 1407460355
- Provider Enumeration Date: 09/08/2020
- Last Update Date: 09/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 3375924681
- Enrollment ID: I20220718003589
Medical Identifiers
Medical identifiers for Shy'ann Frazier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407460355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kinetic Phys Therapy And Wellness Inc | 5496879256 | 22 |
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. Shy'ann Frazier allows following entities to bill medicare on her behalf.
| Provider Name | Kinetic Phys Therapy And Wellness Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063733442
PECOS PAC ID: 5496879256
Enrollment ID: O20100831000353 |
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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. Shy'ann Frazier 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 |
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Shy'ann Frazier,
601 S Martin Luther King Jr Dr Fl 432,
Winston Salem, NC 27110-0003
Ph: () - | Shy'ann Frazier,
601 S Martin Luther King Jr Dr Fl 432,
Winston Salem, NC 27110-0003
Ph: (336) 750-3177 |
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