| Traci M Frye, RN, FNP | |
|
100 N. East Street, Joseph, OR 97846 | |
| (541) 432-7777 | |
| (541) 432-7170 |
| Full Name | Traci M Frye |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 100 N. East Street, Joseph, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356388094 | NPI | - | NPPES |
| 276679 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 093000596N1 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wallowa Memorial Hospital | Enterprise, OR | Hospital |
| Providence St Mary Medical Center | Walla walla, WA | Hospital |
| Grande Ronde Hospital | La grande, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wallowa County Health Care District | 4183537566 | 26 |
| Entity Name | Wallowa County Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447256250 PECOS PAC ID: 4183537566 Enrollment ID: O20031120000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci M Frye, RN, FNP 601 Medical Pkwy, Enterprise, OR 97828-5124 Ph: (541) 426-5460 | Traci M Frye, RN, FNP 100 N. East Street, Joseph, OR 97846 Ph: (541) 432-7777 |
R. Devee Boyd, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 N. East Street, Joseph, OR 97846 Phone: 541-432-7777 Fax: 541-432-7170 | |
Dr. Kirsten Elizabeth Tallent Caine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 N. East St, Joseph, OR 97846 Phone: 541-432-7777 |