Anthonyesha Fagan, is a
Contractor based in Toledo, Ohio. Anthonyesha Fagan is licensed to practice in Ohio (license number 4807696) and her current practice location is
821 Southbriar Rd, Toledo, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 279-3433.
NPI number for Anthonyesha Fagan is 1831514371 and her current mailing address is 821 Southbriar Rd, Toledo, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831514371.
Healthcare Provider's Profile
Full Name | Anthonyesha Fagan |
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Gender | Female |
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Speciality | Contractor |
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Location | 821 Southbriar Rd, Toledo, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831514371
- Provider Enumeration Date: 02/20/2014
- Last Update Date: 01/07/2019
Medical Identifiers
Medical identifiers for Anthonyesha Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831514371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
171W00000X | Contractor | 4807696 (Ohio) | Primary |
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. Anthonyesha Fagan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anthonyesha Fagan, 821 Southbriar Rd, Toledo, OH 43607-2561 Ph: (419) 705-9168 | Anthonyesha Fagan, 821 Southbriar Rd, Toledo, OH 43607-2561 Ph: (419) 279-3433 |
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