Paul Fry, - Medicare Orthopedic Surgery in Gardnerville, NV

Paul Fry, is a medicare enrolled "Orthopaedic Surgery" physician in Gardnerville, Nevada. He went to University Of Southern California Keck School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice South Lyon Health Center Inc and his current practice location is 1520 Virginia Ranch Road, Suite 101b, Gardnerville, Nevada. You can reach out to his office (for appointments etc.) via phone at (775) 782-2442.

Paul Fry is licensed to practice in Nevada (license number 6420) 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 1255322640.

Contact Information

Paul Fry,
1520 Virginia Ranch Road, Suite 101b,
Gardnerville, NV 89410-5731
(775) 782-2442
(775) 782-7205



Physician's Profile

Full NamePaul Fry
GenderMale
SpecialityOrthopedic Surgery
Experience41 Years
Location1520 Virginia Ranch Road, Gardnerville, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul Fry attended and graduated from University Of Southern California Keck School Of Medicine in 1983
  NPI Data:
  • NPI Number: 1255322640
  • Provider Enumeration Date: 11/03/2005
  • Last Update Date: 07/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456254317
  • Enrollment ID: I20060425000688

Medical Identifiers

Medical identifiers for Paul Fry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255322640NPI-NPPES
002003052MedicaidNV
00G545900OtherCAMEDI-CAL
200034256OtherCAMEDICARE RAILROAD
P00343660OtherNVMEDICARE RAILROAD
CC6619OtherNVBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery G54590 (California)Secondary
207X00000XOrthopaedic Surgery 6420 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
South Lyon Medical CenterYerington, NVHospital
Carson Valley Medical CenterGardnerville, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Lyon Health Center Inc064817853314

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul Fry allows following entities to bill medicare on his behalf.
Entity NameSouth Lyon Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932160363
PECOS PAC ID: 0648178533
Enrollment ID: O20031230000357

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Entity NameTahoe Fracture And Orthopedic Medical Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750372140
PECOS PAC ID: 8628979267
Enrollment ID: O20040116000723

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Entity NameJames J Lynch M D Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285649608
PECOS PAC ID: 9133188626
Enrollment ID: O20041008001262

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Entity NameSouth Lyon Health Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1376917302
PECOS PAC ID: 0648178533
Enrollment ID: O20160113002811

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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. Paul Fry 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 AddressPractice Location Address
Paul Fry,
973 Mica Dr, Suite 201,
Carson City, NV 89705-7255

Ph: (775) 783-6190
Paul Fry,
1520 Virginia Ranch Road, Suite 101b,
Gardnerville, NV 89410-5731

Ph: (775) 782-2442

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Orthopaedic Surgery Doctors in Gardnerville, NV

Dr. Edward M Tapper, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410
Phone: 775-782-2442    Fax: 775-783-6199
Scott Wilson Southard, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1520 Virginia Ranch Rd Ste 1b, Gardnerville, NV 89410
Phone: 530-541-4119    Fax: 530-541-3246
Dr. Paul Williams Phillips Jr., M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410
Phone: 775-782-3767    

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