| Jon Durwood Frazier, MD | |
|
700 N Burkhardt Rd, Evansville, IN 47715-2740 | |
| (812) 474-1110 | |
| (812) 474-1303 |
| Full Name | Jon Durwood Frazier |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 41 Years |
| Location | 700 N Burkhardt Rd, Evansville, Indiana |
| 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 |
|---|---|---|---|
| 1679572507 | NPI | - | NPPES |
| P00724152 | Other | IN | RR MEDICARE TROC |
| 100387080 | Medicaid | IN | |
| P00394815 | Other | RR MEDICARE | |
| 64030752 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 01042819 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Women's Hospital The | Newburgh, IN | Hospital |
| Methodist Hospital | Henderson, KY | Hospital |
| Wabash General Hospital 1 | Mount carmel, IL | Hospital |
| Gibson General Hospital | Princeton, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Therapy Associates, Inc. | 1951386275 | 5 |
| Tri-state Radiation Oncology Centers Llc | 8628133394 | 4 |
| Entity Name | Therapy Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205885316 PECOS PAC ID: 1951386275 Enrollment ID: O20040621001973 |
| Entity Name | Tri-state Radiation Oncology Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225274244 PECOS PAC ID: 8628133394 Enrollment ID: O20090212000084 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Durwood Frazier, MD Po Box 2368, Indianapolis, IN 46206-2368 Ph: (812) 474-1110 | Jon Durwood Frazier, MD 700 N Burkhardt Rd, Evansville, IN 47715-2740 Ph: (812) 474-1110 |
Mr. John R Bies, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1120 Professional Blvd, Evansville, IN 47714 Phone: 812-479-9500 Fax: 812-437-0037 | |
Dr. Daniel Riherd, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-450-5000 | |
Dr. Bryan Mcdowell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave, Evansville, IN 47714 Phone: 812-485-4000 | |
Gary W Kerber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave, Evansville, IN 47750 Phone: 812-485-4415 Fax: 812-471-6650 | |
Dr. Alexander Matthew Clayton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-422-3254 Fax: 812-426-6388 | |
Dr. Aly A. Razek, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 N Burkhardt Rd, Evansville, IN 47715 Phone: 812-474-1110 Fax: 812-471-9282 | |
Dr. Michael Wayne Daugherty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-422-3254 |