| Edward Fairfax Frost, MD | |
|
109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094-7400 | |
| (262) 928-5100 | |
| Not Available |
| Full Name | Edward Fairfax Frost |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 27 Years |
| Location | 109 Air Park Dr, Watertown, Wisconsin |
| 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 |
|---|---|---|---|
| 1184698227 | NPI | - | NPPES |
| 02271603 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 52228 (Wisconsin) | Primary |
| 208000000X | Pediatrics | 52228 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marquardt Home Health | Watertown, WI | Home health agency |
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
| Watertown Memorial Hospital | Watertown, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prohealth Medical Group Inc | 3476465188 | 443 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Fairfax Frost, MD 109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094-7400 Ph: (262) 928-5100 | Edward Fairfax Frost, MD 109 Air Park Dr, Prohealth Care Medical Associates Inc., Watertown, WI 53094-7400 Ph: (262) 928-5100 |
Dr. Zachary Richardson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-245-5741 | |
Mohamed H Yafai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Hospital Drive, Suite 2009, Watertown, WI 53098 Phone: 920-262-9833 Fax: 920-262-9834 | |
Alan L. Detwiler, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Hospital Dr, Watertown, WI 53098 Phone: 920-262-4210 |