Amanda Lynne Fagan, DO - Medicare Family Medicine in Orlando, FL

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Amanda Lynne Fagan, DO is a medicare enrolled "Family Medicine" physician in Orlando, Florida. Her current practice location is 4613 S Orange Blossom Trl, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 232-9833.

Amanda Lynne Fagan is licensed to practice in Florida (license number OS17191) 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 1245617802.

Contact Information

Amanda Lynne Fagan, DO
4613 S Orange Blossom Trl,
Orlando, FL 32839-1705
(407) 232-9833
(407) 232-9829

Map and Direction




Physician's Profile

Full NameAmanda Lynne Fagan
GenderFemale
SpecialityFamily Medicine
Location4613 S Orange Blossom Trl, Orlando, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245617802
  • Provider Enumeration Date: 05/04/2015
  • Last Update Date: 02/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810295698
  • Enrollment ID: I20181108002812

Medical Identifiers

Medical identifiers for Amanda Lynne Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245617802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO2319 (Nevada)Secondary
207Q00000XFamily Medicine SL1068 (Nevada)Secondary
207Q00000XFamily Medicine OS17191 (Florida)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. Amanda Lynne Fagan allows following entities to bill medicare on her behalf.
Entity NameSouthwest Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659346005
PECOS PAC ID: 6103730544
Enrollment ID: O20031118001102
Entity NameOptum Medical Group Ii Rhodes P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770556037
PECOS PAC ID: 4981687779
Enrollment ID: O20040611000770

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. Amanda Lynne 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
Amanda Lynne Fagan, DO
4613 S Orange Blossom Trl,
Orlando, FL 32839-1705

Ph: (407) 232-9833		Amanda Lynne Fagan, DO
4613 S Orange Blossom Trl,
Orlando, FL 32839-1705

Ph: (407) 232-9833

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.