Ethan Fry, DO - Medicare Cardiac Electrophysiology in Temple, TX

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Ethan Fry, DO is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Temple, Texas. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2017 and has 9 years of diverse experience with area of expertise as Cardiac Electrophysiology. He is a member of the group practice Deaconess Specialty Physicians, Inc, Deaconess Hospital, Inc., Deaconess Specialty Physicians, Inc and his current practice location is 2401 S 31st St, Temple, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 724-2111.

Ethan Fry is licensed to practice in Indiana (license number 02008513A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245769124.

Contact Information

Ethan Fry, DO
2401 S 31st St,
Temple, TX 76508-0001
(254) 724-2111
Not Available

Map and Direction




Physician's Profile

Full NameEthan Fry
GenderMale
SpecialityCardiac Electrophysiology
Experience9 Years
Location2401 S 31st St, Temple, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ethan Fry attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2017
  NPI Data:
  • NPI Number: 1245769124
  • Provider Enumeration Date: 06/05/2017
  • Last Update Date: 10/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0345514139
  • Enrollment ID: I20250910002292

Medical Identifiers

Medical identifiers for Ethan Fry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245769124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 02008513A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Deaconess Hospital IncEvansville, INHospital
Deaconess Henderson HospitalHenderson, KYHospital
Deaconess Gibson HospitalPrinceton, INHospital
Deaconess Memorial Medical Center, IncJasper, INHospital
Ferrell Hospital Community FoundationsEldorado, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Deaconess Specialty Physicians, Inc0244595205228
Deaconess Hospital, Inc.9032021431410
Deaconess Specialty Physicians, Inc0244595205228

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. Ethan Fry allows following entities to bill medicare on his behalf.
Entity NameDeaconess Specialty Physicians, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124522750
PECOS PAC ID: 0244595205
Enrollment ID: O20180608001730

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. Ethan 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 AddressPractice Location Address
Ethan Fry, DO
2401 S 31st St,
Temple, TX 76508-0001

Ph: (254) 724-2111		Ethan Fry, DO
2401 S 31st St,
Temple, TX 76508-0001

Ph: (254) 724-2111

Reviews and Comments


Internal Medicine Doctors in Temple, TX

Raagsudha Jhavar,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1605 S 31st St, Temple, TX 76508
Phone: 254-215-0100    Fax: 254-215-0636
Dr. Farrukh Sarmad Badsha, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St # Msa1300, Temple, TX 76508
Phone: 254-935-5820    
Dr. Seetha Kannan, M.D
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2409 Pin Oak Dr, Temple, TX 76502
Phone: 254-774-8060    
Jennifer D Moran, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St, Temple, TX 76508
Phone: 254-724-2111    
Dr. Douglas Randall Bretzing, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St, Temple, TX 76508
Phone: 254-724-2364    
Dr. Katherine M. Jew, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1901 S 1st St, Temple, TX 76504
Phone: 254-778-4148    
Niket Sonpal, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2401 S 31st St, Temple, TX 76508
Phone: 254-724-2111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.