Dr Paul M Fagan, DDS is a medicare enrolled "Dentist" provider in Juffern, New York. His current practice location is
29 North Airmont Road, Juffern, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 357-2755.
Dr Paul M Fagan is licensed to practice in New York (license number 031143) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558470377.
Healthcare Provider's Profile
Full Name | Dr Paul M Fagan |
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Gender | Male |
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Speciality | Dentist |
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Location | 29 North Airmont Road, Juffern, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558470377
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7214234640
- Enrollment ID: I20160329002421
Medical Identifiers
Medical identifiers for Dr Paul M Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558470377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 031143 (New York) | 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. Dr Paul M 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 |
Dr Paul M Fagan, DDS 29 North Airmont Road, Juffern, NY 10901 Ph: (845) 357-2755 | Dr Paul M Fagan, DDS 29 North Airmont Road, Juffern, NY 10901 Ph: (845) 357-2755 |
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