Dr Jan Mcgonagle, MD is a medicare enrolled "Pediatrics - Neurodevelopmental Disabilities" physician in Greenfield, New Hampshire. Her current practice location is
One Verney Drive, Cmrc, Greenfield, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 547-3311.
Dr Jan Mcgonagle is licensed to practice in New Hampshire (license number 9425) 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 1265450936.
Physician's Profile
| Full Name | Dr Jan Mcgonagle |
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| Gender | Female |
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| Speciality | Pediatrics - Neurodevelopmental Disabilities |
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| Location | One Verney Drive, Greenfield, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265450936
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698781763
- Enrollment ID: I20060227000439
Medical Identifiers
Medical identifiers for Dr Jan Mcgonagle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265450936 | NPI | - | NPPES |
| 30008409 | Medicaid | NH | |
| ORE3780 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 9425 (New Hampshire) | Secondary |
| 208000000X | Pediatrics | 0420010669 (Vermont) | Secondary |
| 2080P0008X | Pediatrics - Neurodevelopmental Disabilities | 9425 (New Hampshire) | 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 Jan Mcgonagle allows following entities to bill medicare on her behalf.
| Entity Name | Amoskeag Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083617013
PECOS PAC ID: 8527038421
Enrollment ID: O20040728001071 |
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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 Jan Mcgonagle 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 Jan Mcgonagle, MD
99 Terrace St,
Keene, NH 03431-3210
Ph: (603) 358-3927 | Dr Jan Mcgonagle, MD
One Verney Drive, Cmrc,
Greenfield, NH 03431-1719
Ph: (603) 547-3311 |
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