Samuel Frazier, APRN, CNS is a medicare enrolled "Clinical Nurse Specialist" in Gresham, Oregon. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). He is a member of the group practice Legacy Clinics Llc and his current practice location is
24900 Se Stark St Ste 109, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 413-7162.
Samuel Frazier is licensed to practice in Oregon (license number 10037912) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194451971.
Provider's Profile
| Full Name | Samuel Frazier |
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| Gender | Male |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 4 Years |
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| Location | 24900 Se Stark St Ste 109, Gresham, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samuel Frazier graduated from nursing school in 2022
NPI Data:
- NPI Number: 1194451971
- Provider Enumeration Date: 07/25/2022
- Last Update Date: 05/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 7315323854
- Enrollment ID: I20250703001824
Medical Identifiers
Medical identifiers for Samuel Frazier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194451971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364S00000X | Clinical Nurse Specialist | 1087151 (Texas) | Secondary |
| 364S00000X | Clinical Nurse Specialist | 10037912 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Legacy Clinics Llc | 0244144004 | 635 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Frazier is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samuel Frazier, APRN, CNS
2603 Carlow Dr,
Austin, TX 78745-4346
Ph: (512) 507-6664 | Samuel Frazier, APRN, CNS
24900 Se Stark St Ste 109,
Gresham, OR 97030-3381
Ph: (503) 413-7162 |
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