| Ms Kelly Fruth, | |
|
520 Sw Ramsey Ave, Grants Pass, OR 97527-5535 | |
| (541) 472-7810 | |
| (541) 472-7811 |
| Full Name | Ms Kelly Fruth |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 520 Sw Ramsey Ave, Grants Pass, 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 |
|---|---|---|---|
| 1730701285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 57800 (California) | Secondary |
| 363A00000X | Physician Assistant | PA214041 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Home Health Care, Inc | Grants pass, OR | Home health agency |
| Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Asante Physician Partners | 8325206246 | 229 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelly Fruth, 2825 E Barnett Rd, Mss, Medford, OR 97504-8332 Ph: (541) 789-4207 | Ms Kelly Fruth, 520 Sw Ramsey Ave, Grants Pass, OR 97527-5535 Ph: (541) 472-7810 |
Jordan Personius, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-789-4281 | |
Kailey R Kelly, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey Avenue, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Mrs. Esther M Carson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1309 Ne 6th St, Grants Pass, OR 97526 Phone: 541-479-3367 Fax: 541-479-0215 | |
Mrs. Kimberly L Waller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-471-3455 | |
Nolan Bastendorff, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 537 Union Ave Fl 2, Grants Pass, OR 97527 Phone: 541-507-2110 | |
Brian James Allen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 702 Sw Ramsey Ave Ste 112, Grants Pass, OR 97527 Phone: 541-472-0603 Fax: 541-472-0609 | |
Mr. Benjamin Moss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 495 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-6644 |