| Mr John Phillip Frasure, PA-C | |
|
208 Haley Rd, Johnson City, TX 78636-4617 | |
| (830) 868-4033 | |
| Not Available |
| Full Name | Mr John Phillip Frasure |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 208 Haley Rd, Johnson City, Texas |
| 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 |
|---|---|---|---|
| 1093787400 | NPI | - | NPPES |
| PA05105 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1049273 (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA05105 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Accentcare Home Health Of Marble Falls | Marble falls, TX | Home health agency |
| Baylor Scott & White Medical Center - Marble Falls | Marble falls, TX | Hospital |
| Baylor Scott & White Medical Center - Temple | Temple, TX | Hospital |
| Baylor Scott & White Institute For Rehabilitation | Lakeway, TX | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2426 |
| Scott And White Hospital - Marble Falls | 6901117175 | 44 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Scott & White Hospital - Marble Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295397859 PECOS PAC ID: 6901117175 Enrollment ID: O20190926002132 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Phillip Frasure, PA-C Po Box 844658, Dallas, TX 75284-4658 Ph: Not Available | Mr John Phillip Frasure, PA-C 208 Haley Rd, Johnson City, TX 78636-4617 Ph: (830) 868-4033 |
Ms. Emily Cropper, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 233 Cypress View Dr, Johnson City, TX 78636 Phone: 512-825-6900 |