| Kolton Fraser, DO | |
|
624 Hospital Dr, Mountain Home, AR 72653-2955 | |
| (870) 424-3181 | |
| (870) 424-3089 |
| Full Name | Kolton Fraser |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 624 Hospital Dr, Mountain Home, Arkansas |
| 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 |
|---|---|---|---|
| 1902397789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | E-14247 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great Falls Clinic Hospital | Great falls, MT | Hospital |
| Baxter Regional Medical Center | Mountain home, AR | Hospital |
| Fulton County Hospital | Salem, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baxter Emergency Group Pllc | 7810023108 | 13 |
| Cmsc Llc | 5890602494 | 45 |
| Entity Name | Baxter Emergency Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245560424 PECOS PAC ID: 7810023108 Enrollment ID: O20100325000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Kolton Fraser, DO 860 Highway 62 E Ste 10, Mountain Home, AR 72653-3200 Ph: (870) 424-3181 | Kolton Fraser, DO 624 Hospital Dr, Mountain Home, AR 72653-2955 Ph: (870) 424-3181 |
Billy Gene Bisswanger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-3089 | |
James M Mcdaniel Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-7070 | |
Dr. David A Stills, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-3089 | |
Philip K Sadler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-7070 | |
Melissa N Quevillon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-3181 Fax: 870-424-3089 | |
Rebecca Dimanche, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 | |
Spencer Charles Wright, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-3089 |