| Dr Grant Ernest Fraser, MD | |
|
1507 Rolling Hills Drive, Spencer, TN 38585 | |
| (931) 305-2475 | |
| (931) 591-3353 |
| Full Name | Dr Grant Ernest Fraser |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1507 Rolling Hills Drive, Spencer, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801835947 | NPI | - | NPPES |
| 272057400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 55281 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | ME92005 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 55281 (Tennessee) | Primary |
| Entity Name | Middle Tennessee Emergency Physicians, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194758979 PECOS PAC ID: 3678464526 Enrollment ID: O20040322001049 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Spring Creek Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275961799 PECOS PAC ID: 8729218110 Enrollment ID: O20140304001787 |
| Entity Name | App Of Tennessee Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20140506000159 |
| Entity Name | Emergency Medicine Services Of Tn, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720785884 PECOS PAC ID: 3173989837 Enrollment ID: O20230523000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grant Ernest Fraser, MD 1507 Rolling Hills Drive, Spencer, TN 38585 Ph: (931) 305-2475 | Dr Grant Ernest Fraser, MD 1507 Rolling Hills Drive, Spencer, TN 38585 Ph: (931) 305-2475 |
Haidee Star Ballew, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 817 College St # 3026, Spencer, TN 38585 Phone: 931-946-2113 |