Dr Tim R Fagan, DDS, MS - Medicare Dentist in Oklahoma City, OK

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Dr Tim R Fagan, DDS, MS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Oklahoma City, Oklahoma. His current practice location is 1201 N Stonewall Ave, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 271-5444.

Dr Tim R Fagan is licensed to practice in Oklahoma (license number 4227) 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 1477557452.

Contact Information

Dr Tim R Fagan, DDS, MS
1201 N Stonewall Ave,
Oklahoma City, OK 73117-1214
(405) 271-5444
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Tim R Fagan
GenderMale
SpecialityDentist - Pediatric Dentistry
Location1201 N Stonewall Ave, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477557452
  • Provider Enumeration Date: 06/08/2005
  • Last Update Date: 07/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4385829084
  • Enrollment ID: I20110422000109

Medical Identifiers

Medical identifiers for Dr Tim R Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477557452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 4227 (Oklahoma)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 Tim R Fagan allows following entities to bill medicare on his behalf.
Entity NameVariety Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780697813
PECOS PAC ID: 1557260007
Enrollment ID: O20040105000467

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 Tim R 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 AddressPractice Location Address
Dr Tim R Fagan, DDS, MS
423 N Van Buren St,
Enid, OK 73703-4454

Ph: (580) 233-0043		Dr Tim R Fagan, DDS, MS
1201 N Stonewall Ave,
Oklahoma City, OK 73117-1214

Ph: (405) 271-5444

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.