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James Michael Frazier

Internal Medicine

Allopathic & Osteopathic Physicians

200 E Chestnut St, Svs Bldg Ste 303, Louisville, KY 40202-1831

PECOS Enrollment

Based on the most recent information from CMS, provider James Michael Frazier does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1407945942
Provider Type
Individual
Full Name
Frazier, James Michael
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
10/12/2006
Last Updated
5/10/2012

Contact Information

Practice Location

200 E Chestnut St, Svs Bldg Ste 303, Louisville, KY 40202-1831

(502) 629-5552

(502) 629-3132

Mailing Location

PO Box 950202, Louisville, KY 40295-0202

(502) 588-9490

(502) 272-5116

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 34865 Kentucky
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License 34865 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 2233577	Description Other	Issuer UNITED HEALTH CARE
ID 2948557	Description Other	Issuer AETNA HMO ONLY Kentucky
ID 587286	Description Other	Issuer ANTHEM/NORTON
ID P00641375	Description Other	Issuer RAILROAD MEDICARE
ID 00533069	Description Other	Issuer NMF/KY MEDICARE Kentucky
ID 64055114	Description Medicaid	Issuer Unlisted Kentucky
ID 7134413	Description Other	Issuer AETNA Kentucky
ID 000000332133	Description Other	Issuer ANTHEM Kentucky
ID 2179185	Description Other	Issuer FIRST HEALTH
ID 64055114	Description Other	Issuer MEDICAID-KY NORTON Kentucky
ID 50020904	Description Other	Issuer PASSPORT/NORTON
ID 200394090	Description Other	Issuer IN MAID/NORTON
ID 50004780	Description Other	Issuer PASSPORT Kentucky
ID 6294877	Description Other	Issuer CIGNA Kentucky
ID 2446132000	Description Other	Issuer PASSPORT ADVANTAGE Kentucky
ID 6294877	Description Other	Issuer CIGNA/NORTON
ID P00135439	Description Other	Issuer MEDICARE RR
ID 099308	Description Other	Issuer SIHO/NORTON
ID 200394090	Description Medicaid	Issuer Unlisted Indiana

James Michael Frazier

PECOS Enrollment

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