Dr Leeanne Fagan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Akron, Ohio. Her current practice location is
Summa Health/emergency Medicine Residency, 525 East Market St, Akron, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 375-6262.
Dr Leeanne Fagan is licensed to practice in * (Not Available) (license number ) 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 1710568845.
Physician's Profile
Full Name | Dr Leeanne Fagan |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | Summa Health/emergency Medicine Residency, Akron, Ohio |
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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: 1710568845
- Provider Enumeration Date: 04/20/2021
- Last Update Date: 02/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385009224
- Enrollment ID: I20230428002153
Medical Identifiers
Medical identifiers for Dr Leeanne Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710568845 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 35.146309 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Leeanne Fagan allows following entities to bill medicare on her behalf.
Entity Name | Pomerene Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770957185 PECOS PAC ID: 5496856270 Enrollment ID: O20160208000863 |
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Entity Name | Mid-ohio Emergency Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881164010 PECOS PAC ID: 7810233517 Enrollment ID: O20190117001823 |
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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 Leeanne 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 Leeanne Fagan, MD 6431 Fannin St, Houston, TX 77030-1501 Ph: () - | Dr Leeanne Fagan, MD Summa Health/emergency Medicine Residency, 525 East Market St, Akron, OH 44304 Ph: (330) 375-6262 |
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