Dr Walter J Fagan, MD - Medicare Surgery in Jim Thorpe, PA

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Dr Walter J Fagan, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Jim Thorpe, Pennsylvania. His current practice location is 211 Center Ave, Jim Thorpe, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (817) 845-1968.

Dr Walter J Fagan is licensed to practice in Pennsylvania (license number MD035284E) 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 1659703635.

Contact Information

Dr Walter J Fagan, MD
211 Center Ave,
Jim Thorpe, PA 18229-1205
(817) 845-1968
Not Available

Map and Direction




Physician's Profile

Full NameDr Walter J Fagan
GenderMale
SpecialitySurgery - Vascular Surgery
Location211 Center Ave, Jim Thorpe, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659703635
  • Provider Enumeration Date: 08/01/2013
  • Last Update Date: 08/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 9234438458
  • Enrollment ID: I20160422000091

Medical Identifiers

Medical identifiers for Dr Walter J Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659703635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery MD035284E (Pennsylvania)Primary

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 Walter 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 AddressPractice Location Address
Dr Walter J Fagan, MD
211 Center Ave,
Jim Thorpe, PA 18229-1205

Ph: (817) 845-1968		Dr Walter J Fagan, MD
211 Center Ave,
Jim Thorpe, PA 18229-1205

Ph: (817) 845-1968

Reviews and Comments


Surgery Doctors in Jim Thorpe, PA


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.