Dr Matthew J Fagan, DO in Vallejo, CA - Medicare Family Medicine

Dr Matthew J Fagan, DO is a medicare enrolled "Family Medicine" physician in Vallejo, California. His current practice location is 365 Tuolumne St, Vallejo, California. You can reach out to his office (for appointments etc.) via phone at (707) 553-5509.

Dr Matthew J Fagan is licensed to practice in California (license number 13007) 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 1740488543.

Contact Information

	Dr Matthew J Fagan, DO
	365 Tuolumne St, Vallejo, CA 94590-5700
	(707) 553-5509
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Matthew J Fagan
Gender	Male
Speciality	Family Medicine
Location	365 Tuolumne St, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740488543
Provider Enumeration Date: 07/03/2007
Last Update Date: 12/18/2013

Medicare PECOS Information:

PECOS PAC ID: 2567658248
Enrollment ID: I20151005002437

Medical Identifiers

Medical identifiers for Dr Matthew J Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740488543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	13007 (California)	Primary
207Q00000X	Family Medicine	0116019758 (Virginia)	Secondary
207Q00000X	Family Medicine	DO034331 (District Of Columbia)	Secondary

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 Matthew J Fagan allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Matthew J 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 Matthew J Fagan, DO 1310 Club Dr, Vallejo, CA 94592-1187 Ph: (707) 638-5232	Dr Matthew J Fagan, DO 365 Tuolumne St, Vallejo, CA 94590-5700 Ph: (707) 553-5509

Reviews and Comments

Family Medicine Doctors in Vallejo, CA

Laurena Nelly Dongmo Fotsing, Family Medicine Medicare: Medicare Enrolled Practice Location: 365 Tuolumne St, Vallejo, CA 94590 Phone: 707-553-5509
Donn R. Erickson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Archana Krishnan, Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000
Saw Sein, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr Ste 304, Vallejo, CA 94589 Phone: 707-643-6483 Fax: 707-643-3018
Dr. Gabriel Flaxman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1025
Yasmin Crespo-mejias, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4801
Aaser Ali, Family Medicine Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000

Dr Matthew J Fagan, DO - Medicare Family Medicine in Vallejo, CA