| Elizabeth R Frazier, APRN | |
|
1135 Broadway St, South Fulton, TN 38257-2835 | |
| (731) 479-2606 | |
| (731) 479-2610 |
| Full Name | Elizabeth R Frazier |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 30 Years |
| Location | 1135 Broadway St, South Fulton, Tennessee |
| 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 |
|---|---|---|---|
| 1699789305 | NPI | - | NPPES |
| 1531866 | Medicaid | TN | |
| 78008224 | Medicaid | KY | |
| 103I500412 | Other | TN | MEDICARE B-TN |
| 295172 | Other | KY | BCBS |
| 4060375 | Other | TN | BCBS TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2205P (Kentucky) | Secondary |
| 363L00000X | Nurse Practitioner | 6339 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Volunteer Community Hospital | Martin, TN | Hospital |
| Baptist Memorial Hospital Union City | Union city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martin Health | 5193070613 | 11 |
| Entity Name | Martin Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669876520 PECOS PAC ID: 5193070613 Enrollment ID: O20180925003822 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth R Frazier, APRN 1135 Broadway St, South Fulton, TN 38257-2835 Ph: (731) 479-2606 | Elizabeth R Frazier, APRN 1135 Broadway St, South Fulton, TN 38257-2835 Ph: (731) 479-2606 |
Ms. Pamela Suzette Milam, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 West State Line Rd., South Fulton, TN 38257 Phone: 731-479-2112 Fax: 731-479-2116 | |
Alison Clement, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6576 E Davidson Rd, South Fulton, TN 38257 Phone: 731-796-5737 | |
Finley W Leslie, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 Broadway St, South Fulton, TN 38257 Phone: 731-479-2606 |