| Jon Michael Fraser, | |
|
710 Lawrence Expy # 296, Santa Clara, CA 95051-5173 | |
| (408) 851-2896 | |
| Not Available |
| Full Name | Jon Michael Fraser |
|---|---|
| Gender | Male |
| Speciality | Qualified Audiologist |
| Experience | 11 Years |
| Location | 710 Lawrence Expy # 296, Santa Clara, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508248493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AU3052 (California) | Primary |
| 237700000X | Hearing Instrument Specialist | HA7972 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sharp Rees-stealy Medical Group Inc | 8628972759 | 872 |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Provider Name | Sharp Rees-stealy Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Michael Fraser, 710 Lawrence Expy # 296, Santa Clara, CA 95051-5173 Ph: (408) 851-1000 | Jon Michael Fraser, 710 Lawrence Expy # 296, Santa Clara, CA 95051-5173 Ph: (408) 851-2896 |
Kathleen Marie Campos, M.A., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Dept. 296, Santa Clara, CA 95051 Phone: 408-851-1000 |
Dr. Christina Marie Kerwin, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-2950 |
Dr. Erin Duncan, AU.D Audiologist Medicare: Medicare Enrolled Practice Location: 2894 Homestead Rd, Santa Clara, CA 95051 Phone: 408-553-6900 |
Mrs. Rebecca L.. Meredith, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy Ste 296, Santa Clara, CA 95051 Phone: 408-851-2896 |
Ms. Sally Eileen Musko, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2894 Homestead Rd, Santa Clara, CA 95051 Phone: 408-553-6900 |
Priya Dhillon, Audiologist Medicare: May Accept Medicare Assignments Practice Location: 2894 Homestead Rd, Santa Clara, CA 95051 Phone: 408-553-6900 |
Dr. Mark Tyler Moore, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 423-360-3883 |