Ohna Fagan, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Hammonton, New Jersey. Her current practice location is
860 S White Horse Pike, Hammonton, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 567-0200.
Ohna Fagan is licensed to practice in New Jersey (license number 44SC06061100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588319164.
Healthcare Provider's Profile
| Full Name | Ohna Fagan |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 860 S White Horse Pike, Hammonton, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1588319164
- Provider Enumeration Date: 02/13/2022
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456735927
- Enrollment ID: I20220901000301
Medical Identifiers
Medical identifiers for Ohna Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588319164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00319500 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC06061100 (New Jersey) | Primary |
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. Ohna Fagan allows following entities to bill medicare on her behalf.
| Entity Name | Southern Jersey Family Medical Centers, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1568473973
PECOS PAC ID: 0547170763
Enrollment ID: O20040917000774 |
|---|
| Entity Name | Senior Care Therapy Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1285898098
PECOS PAC ID: 0547335366
Enrollment ID: O20080813000563 |
|---|
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. Ohna Fagan 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 Address | Practice Location Address |
|---|
Ohna Fagan, LCSW, LCADC
112 Spruce Cir N,
Barnegat, NJ 08005-2004
Ph: (609) 290-8959 | Ohna Fagan, LCSW, LCADC
860 S White Horse Pike,
Hammonton, NJ 08037-2018
Ph: (609) 567-0200 |
Reviews and Comments