Dr Jeffrey Patrick Fry, PHD, NCSP in Medford, OR - Medicare Psychologist Provider

Dr Jeffrey Patrick Fry, PHD, NCSP is a medicare enrolled "Psychologist" provider in Medford, Oregon. His current practice location is 809 E Jackson St, Medford, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 690-2906.

Dr Jeffrey Patrick Fry is licensed to practice in Oregon (license number 3208) 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 1144428855.

Contact Information

	Dr Jeffrey Patrick Fry, PHD, NCSP
	809 E Jackson St, Medford, OR 97504-6713
	(541) 690-2906
	(458) 226-2667

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeffrey Patrick Fry
Gender	Male
Speciality	Psychologist
Location	809 E Jackson St, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144428855
Provider Enumeration Date: 07/03/2007
Last Update Date: 09/01/2020

Medicare PECOS Information:

PECOS PAC ID: 8921479338
Enrollment ID: I20230123002000

Medical Identifiers

Medical identifiers for Dr Jeffrey Patrick Fry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144428855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	3208 (Oregon)	Primary
103T00000X	Psychologist	SS 903 (Florida)	Secondary

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. Dr Jeffrey Patrick Fry allows following entities to bill medicare on his behalf.

Entity Name	Southern Oregon Wellness Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538446315 PECOS PAC ID: 5395903124 Enrollment ID: O20120223000945

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. Dr Jeffrey Patrick 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
Dr Jeffrey Patrick Fry, PHD, NCSP 809 E Jackson St, Medford, OR 97504-6713 Ph: (541) 690-2906	Dr Jeffrey Patrick Fry, PHD, NCSP 809 E Jackson St, Medford, OR 97504-6713 Ph: (541) 690-2906

Reviews and Comments

Psychologist in Medford, OR

Dr. Michael Francis O'connell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 728 Cardley Ave, Medford, OR 97504 Phone: 541-773-4077 Fax: 541-773-3621
Dr. Natalie Marie Bennett, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 840 Royal Ave Ste 110, Medford, OR 97504 Phone: 541-732-8370
Jonathan Sterling Beck, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 837 Alder Creek Dr, Medford, OR 97504 Phone: 541-608-3878 Fax: 541-608-3880
Dr. Boyd David Sherbourne, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 670 Superior Ct Ste 110, Medford, OR 97504 Phone: 541-944-3938
Katie Morgan Hannah-fisher, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 837 Alder Creek Dr, Medford, OR 97504 Phone: 541-608-3878 Fax: 541-608-3880
Kristin Elizabeth Maple, PH. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 837 Alder Creek Dr, Medford, OR 97504 Phone: 541-608-3878 Fax: 541-608-3880

Dr Jeffrey Patrick Fry, PHD, NCSP - Medicare Psychologist in Medford, OR