Dr Philip J Fagan Jr, MD - Medicare Emergency Medicine in Tustin, CA

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Dr Philip J Fagan Jr, MD is a medicare enrolled "Emergency Medicine" physician in Tustin, California. His current practice location is 14642 Newport Ave Ste 101, Tustin, California. You can reach out to his office (for appointments etc.) via phone at (714) 581-6470.

Dr Philip J Fagan Jr is licensed to practice in California (license number C32505) 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 1255335154.

Contact Information

Dr Philip J Fagan Jr, MD
14642 Newport Ave Ste 101,
Tustin, CA 92780-6058
(714) 581-6470
(714) 581-6492

Map and Direction




Physician's Profile

Full NameDr Philip J Fagan Jr
GenderMale
SpecialityEmergency Medicine
Location14642 Newport Ave Ste 101, Tustin, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255335154
  • Provider Enumeration Date: 06/08/2005
  • Last Update Date: 01/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355253956
  • Enrollment ID: I20040121001104

Medical Identifiers

Medical identifiers for Dr Philip J Fagan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255335154NPI-NPPES
00C325050OtherCABLUE SHIELD
00C325050MedicaidCA
00C325050OtherCACALOPTIMA
930085818OtherCARAILROAD MEDICARE
C32505OtherCABLUE CROSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine C32505 (California)Secondary
207P00000XEmergency Medicine C32505 (California)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 Philip J Fagan Jr allows following entities to bill medicare on his behalf.
Entity NameEmergency Department Physicians Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730104498
PECOS PAC ID: 2567366800
Enrollment ID: O20031222000734
Entity NameGlenn Medical Center, Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1336187178
PECOS PAC ID: 3870505035
Enrollment ID: O20070705000269
Entity NameCalifornia Hospitalists Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760648539
PECOS PAC ID: 5193886505
Enrollment ID: O20081203000866
Entity NameKnd Development 59 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740519081
PECOS PAC ID: 3678602802
Enrollment ID: O20100724000249
Entity NameEr Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063765907
PECOS PAC ID: 6406008499
Enrollment ID: O20121221000262
Entity NameCan Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265810006
PECOS PAC ID: 8820304462
Enrollment ID: O20150827002595

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 Philip J Fagan Jr 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 Philip J Fagan Jr, MD
2550 N Hollywood Way Ste 304,
Burbank, CA 91505-5028

Ph: (747) 283-1809		Dr Philip J Fagan Jr, MD
14642 Newport Ave Ste 101,
Tustin, CA 92780-6058

Ph: (714) 581-6470

Reviews and Comments


Emergency Medicine Doctors in Tustin, CA

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Phone: 949-356-7676    
Maxwell Jen, MD
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Yusaku Uchimura, MD
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Phone: 714-669-2000    Fax: 818-587-2493
Andrew A Tran, MD
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Practice Location: 14662 Newport Ave, Tustin, CA 92780
Phone: 866-266-6980    Fax: 818-587-2493
Fergus S Ng, MD
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Practice Location: 14662 Newport Ave, Tustin, CA 92780
Phone: 714-669-2000    Fax: 818-587-2493
Martha Maria Herrero, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 15143 Woodlawn Ave, Tustin, CA 92780
Phone: 714-426-4500    Fax: 714-426-4500

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.