Charles Walker Fry, MD in Philadelphia, PA

Charles Walker Fry, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in Philadelphia, Pennsylvania. His current practice location is 3400 Spruce Street, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-3000.

Charles Walker Fry is licensed to practice in Pennsylvania (license number MD488113) 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 1750812517.

Contact Information

	Charles Walker Fry, MD
	3400 Spruce Street, Philadelphia, PA 19104-4206
	(215) 662-3000
	(215) 662-7011

Map and Direction

Physician's Profile

Full Name	Charles Walker Fry
Gender	Male
Speciality	Radiology - Pediatric Radiology
Location	3400 Spruce Street, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750812517
Provider Enumeration Date: 03/23/2017
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 1254604200
Enrollment ID: I20230829001425

Medical Identifiers

Medical identifiers for Charles Walker Fry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750812517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085P0229X	Radiology - Pediatric Radiology	MD488113 (Pennsylvania)	Primary

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. Charles Walker Fry allows following entities to bill medicare on his behalf.

Entity Name	Weill Medical College Of Cornell
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538109269 PECOS PAC ID: 6800709023 Enrollment ID: O20031215000282

Entity Name	Weill Cornell Imaging At New York Presbyterian
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447430152 PECOS PAC ID: 6800986829 Enrollment ID: O20080229000019

Entity Name	Kings Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083045090 PECOS PAC ID: 0547579427 Enrollment ID: O20151015000175

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. Charles Walker 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
Charles Walker Fry, MD 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (215) 662-3000	Charles Walker Fry, MD 3400 Spruce Street, Philadelphia, PA 19104-4206 Ph: (215) 662-3000

Reviews and Comments

Radiology Doctors in Philadelphia, PA

Joel M Stein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3005
Dr. Sarah Denise Fenerty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-7237 Fax: 215-707-9389
Joanie M Garratt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Ryan Mcclintock, MD Radiology Medicare: Medicare Enrolled Practice Location: 3400 Spruce Street, Philadelphia, PA 19104 Phone: 215-662-3000 Fax: 215-662-7011
Dr. David P. Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th St, Suite 3390, Philadelphia, PA 19107 Phone: 215-955-2900 Fax: 215-923-1562
Michel Bilello, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, 1 Silverstein, Philadelphia, PA 19104 Phone: 215-662-3005
Jill E Langer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, Ground Floor Dulles, Philadelphia, PA 19104 Phone: 215-662-7012 Fax: 215-349-5627

Charles Walker Fry, MD - Medicare Radiology in Philadelphia, PA