| Mrs Susan Katherine Frady, FNP | |
|
715 S 9th St, Canon City, CO 81212-4911 | |
| (719) 269-8820 | |
| (719) 204-0230 |
| Full Name | Mrs Susan Katherine Frady |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 715 S 9th St, Canon City, Colorado |
| 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 |
|---|---|---|---|
| 1083935001 | NPI | - | NPPES |
| 60539577 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 10059 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metamorphosis Ltd | 1456573427 | 5 |
| Entity Name | Metamorphosis Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013324268 PECOS PAC ID: 1456573427 Enrollment ID: O20141106000603 |
| Entity Name | Canon Professional Wellness Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780384560 PECOS PAC ID: 1456708890 Enrollment ID: O20231107002803 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susan Katherine Frady, FNP 1203 Elm Ave, Canon City, CO 81212-4829 Ph: (303) 981-6221 | Mrs Susan Katherine Frady, FNP 715 S 9th St, Canon City, CO 81212-4911 Ph: (719) 269-8820 |
Mr. Karl James Weber, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 129 Savage Loop, Canon City, CO 81212 Phone: 720-467-9478 | |
Mrs. Deborah Eileen Shock, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 W Hwy 50, Canon City, CO 81212 Phone: 719-269-4078 | |
Marsha L. Coberly, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, St Thomas More Hospital, Canon City, CO 81212 Phone: 719-285-2000 | |
Teresa A. Hoskins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 | |
Ms. Betty Ann Krenson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 Yale Pl, Canon City, CO 81212 Phone: 719-275-2301 Fax: 719-275-7048 | |
Sarah Troemel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 715 S 9th St, Canon City, CO 81212 Phone: 719-269-8820 |