Fraley Clinic PLLC
A Medicare group practice based in Edmond, OK: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5294001962), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5294001962
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OK
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20171024002964 | OK | Part B Supplier - Clinic/Group Practice | 1568985182 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Fraley Clinic PLLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Edmond, OK
- NPI 1568985182
-
Mercy Clinic Oklahoma Communities
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
Oklahoma Spine Hospital LLC
dba Oklahoma Spine Hospital
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1699745893
Practice locations
- Edmond, OK1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Jeana Backus, APRN-FNP
- Family Nurse Practitioner
- Edmond, OK
- NPI 1700447356
-
Dana S Cortez, P.A.-C
- Medical Physician Assistant
- Edmond, OK
- NPI 1881886851
-
Andrea Fraley, MD
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Edmond, OK
- NPI 1487660585
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.