| Dr Erik Sean Fraley, MD | |
|
2201 Lexington Ave, Ashland, KY 41101-2843 | |
| (606) 408-4000 | |
| (606) 408-3719 |
| Full Name | Dr Erik Sean Fraley |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2201 Lexington Ave, Ashland, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609822584 | NPI | - | NPPES |
| 3810005950 | Medicaid | WV | |
| 64125537 | Medicaid | KY | |
| 2693054 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | TP458 (Kentucky) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 40086 (Kentucky) | Primary |
| Entity Name | Ashland Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053748913 PECOS PAC ID: 7719882521 Enrollment ID: O20031204000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Erik Sean Fraley, MD Po Box 1595, Ashland, KY 41105-1595 Ph: (606) 408-4000 | Dr Erik Sean Fraley, MD 2201 Lexington Ave, Ashland, KY 41101-2843 Ph: (606) 408-4000 |
Eugene R Degiorgio, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Saint Christopher Dr, Ashland, KY 41101 Phone: 606-833-2273 | |
Garrick Todd Sherman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 Fax: 606-408-6212 | |
Anshu K Jain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 122 Saint Christopher Dr, Ashland, KY 41101 Phone: 606-836-0202 | |
Mayola W Boykin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Robert Ray Penkava, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Dr. Dhirenkumar Desai, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-4000 | |
Mr. David Matthew Pierce Ii, ARDMS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 2201 Lexington Ave, Ashland, KY 41101 Phone: 606-408-0715 |