Susan J Frazier (NPI# 1184606469, PAC ID# 9032106232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1184606469 |
PAC ID by PECOS | 9032106232 |
Professional Enrollment ID | I20040518000864 |
Full Name | Susan J Frazier |
Organization Legal Name | ASPIRUS MEDFORD HOSPITAL AND CLINICS INC |
Address |
1511 Railroad Ave Prentice WI 54556-1155 |
Phone Number | 7154282521 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
Graduation Year | 1991 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 5799688602 |
Number of Group Practice Members | 51 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
521324 | ASPIRUS MEDFORD HOSPITAL & CLINICS, INC |
Address | Phone | Organization |
---|---|---|
1511 Railroad Ave, Prentice, WI 54556-1155 | 7154282521 | ASPIRUS MEDFORD HOSPITAL AND CLINICS INC |
Organization Legal Name | ASPIRUS MEDFORD HOSPITAL AND CLINICS INC |
Physicians | 45 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lindsey I Lucero | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 1011 E Spruce St, Suite 6, Abbotsford, WI 54405-9647 |
Gregory L Werner | Physician Assistant | Aspirus Medford Hospital and Clinics Inc | 135 S Gibson St, Medford, WI 54451-1622 |
Kelly J Witt-erickson | Clinical Social Worker | Aspirus Medford Hospital and Clinics Inc | 625 Peterson Ave, Phillips, WI 54555-1452 |
Glenda K Way | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 729 Pine St, Athens, WI 54411-9305 |
Angela M Guden | Certified Registered Nurse Anesthetist (crna) | Aspirus Medford Hospital and Clinics Inc | 135 S Gibson St, Medford, WI 54451-1622 |
Nicholas J Franssen | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
Melissa D Belle | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
Edgar Betancourt | Pathology | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
Douglas L Smith | Family Medicine | Aspirus Medford Hospital and Clinics Inc | 135 S Gibson St, Medford, WI 54451-1622 |
Tiffany K Luckey | Physician Assistant | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
Street Address |
1511 RAILROAD AVE |
City | PRENTICE |
State | WI |
Zip | 54556-1155 |
City | PRENTICE |
Zip Code | 54556 |
Specialty | FAMILY MEDICINE |
City + Specialty | PRENTICE + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.