| Eugonda Fryman, APRN | |
|
45 Mcdowell St, Mount Olivet, KY 41064 | |
| (606) 698-6160 | |
| (335) 812-4228 |
| Full Name | Eugonda Fryman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 45 Mcdowell St, Mount Olivet, Kentucky |
| 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 |
|---|---|---|---|
| 1083020853 | NPI | - | NPPES |
| 3008733 | Other | KY | APRN # |
| 7100327520 | Medicaid | KY | |
| K182520, K182521 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3008733 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison Memorial Hospital | Cynthiana, KY | Hospital |
| Meadowview Regional Medical Center | Maysville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lewis County Primary Care Center, Inc | 1153311774 | 82 |
| Harrison Memorial Hospital | 4284784067 | 55 |
| Entity Name | Harrison Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386783868 PECOS PAC ID: 8628961018 Enrollment ID: O20040209000207 |
| Entity Name | Lewis County Primary Care Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457303802 PECOS PAC ID: 1153311774 Enrollment ID: O20040515000278 |
| Entity Name | Harrison Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669615233 PECOS PAC ID: 4284784067 Enrollment ID: O20090617000216 |
| Entity Name | Medycus Staffing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437859162 PECOS PAC ID: 4789044603 Enrollment ID: O20230724001762 |
| Mailing Address | Practice Location Address |
|---|---|
| Eugonda Fryman, APRN Po Box 550, Vanceburg, KY 41179-0550 Ph: (606) 796-3029 | Eugonda Fryman, APRN 45 Mcdowell St, Mount Olivet, KY 41064 Ph: (606) 698-6160 |
Kimberly Wells Moore, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1030 Kentontown Rd, Mount Olivet, KY 41064 Phone: 606-724-5020 | |
Clisty Nicole Earlywine, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2666 Thomas Pike, Mount Olivet, KY 41064 Phone: 606-748-9001 |