| Stephen Dale Frazier, MD | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-3716 | |
| (319) 233-1630 |
| Full Name | Stephen Dale Frazier |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 46 Years |
| Location | 1825 Logan Ave, Waterloo, Iowa |
| 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 |
|---|---|---|---|
| 1386698009 | NPI | - | NPPES |
| 0193102 | Medicaid | IA | |
| 421417307D4 | Other | IA | JOHN DEERE HEALTH INS P |
| 49304 | Other | IA | WELLMARK INS PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 32977 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center | Lubbock, TX | Hospital |
| Covenant Medical Center | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lubbock County Hospital District | 4385538941 | 73 |
| Entity Name | Lubbock County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437170313 PECOS PAC ID: 4385538941 Enrollment ID: O20040212000864 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Dale Frazier, MD Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 235-3716 | Stephen Dale Frazier, MD 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3716 |
James Vincent Connell Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3716 Fax: 319-233-1630 | |
Vandana Jain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2800 Fax: 319-272-2807 | |
Greg Evan Raecker, DO Radiology Medicare: Medicare Enrolled Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701 Phone: 319-833-6001 Fax: 319-833-6003 | |
Cassandra S Foens, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2800 Fax: 319-272-2807 | |
Lawrence Arthur Liebscher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701 Phone: 319-833-6001 Fax: 319-833-6003 | |
Wayne Leroy Ventling Ii, DO Radiology Medicare: Medicare Enrolled Practice Location: 4150 Kimball Avenue, Waterloo, IA 50701 Phone: 219-235-5390 Fax: 319-233-1630 |