Dr Tana Lee Fagan, DDS in Albany, NY - Medicare Dentist Provider

Dr Tana Lee Fagan, DDS is a medicare enrolled "Dentist" provider in Albany, New York. Her current practice location is 314 S Manning Blvd, Albany, New York. You can reach out to her office (for appointments etc.) via phone at (518) 437-5731.

Dr Tana Lee Fagan is licensed to practice in New York (license number 46177) 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 1598742082.

Contact Information

	Dr Tana Lee Fagan, DDS
	314 S Manning Blvd, Albany, NY 12208-1708
	(518) 437-5731
	(518) 437-5931

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tana Lee Fagan
Gender	Female
Speciality	Dentist
Location	314 S Manning Blvd, Albany, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598742082
Provider Enumeration Date: 12/27/2005
Last Update Date: 04/25/2016

Medicare PECOS Information:

PECOS PAC ID: 2163433426
Enrollment ID: I20060530000057

Medical Identifiers

Medical identifiers for Dr Tana Lee Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598742082	NPI	-	NPPES
02071401	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	46177 (New York)	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. Dr Tana Lee Fagan allows following entities to bill medicare on her behalf.

Entity Name	Center For Disability Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508812116 PECOS PAC ID: 5799685327 Enrollment ID: O20040112000026

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 Tana Lee 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 Tana Lee Fagan, DDS 8 Pond Hollow Rd, Averill Park, NY 12018-9728 Ph: (518) 674-2878	Dr Tana Lee Fagan, DDS 314 S Manning Blvd, Albany, NY 12208-1708 Ph: (518) 437-5731

Reviews and Comments

Dentist in Albany, NY

Thao Luong, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1873 Western Ave Ste 200, Albany, NY 12203 Phone: 518-436-7815
Dr. Michael A Landau, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1467 Western Ave, Albany, NY 12203 Phone: 518-438-4400
Usha Jonnalagadda, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 314 S Manning Blvd, Albany, NY 12208 Phone: 518-453-2273
Dr. Richard H Cipolaro, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Albany, NY 12208 Phone: 518-626-6572
Dr. Champaka Lakshmi, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 5 Pine West Plz, Washigtonavenue Extension, Albany, NY 12205 Phone: 518-456-7673
Sneha Reddy Godi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1873 Western Ave, Suite 200, Albany, NY 12203 Phone: 518-869-1044
Dr. Amrutha Chandra Mandava, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1662 Central Ave, Albany, NY 12205 Phone: 518-452-2121 Fax: 518-456-2865

Dr Tana Lee Fagan, DDS - Medicare Dentist in Albany, NY