Jillian Renee Hagerman, DO in Tampa, FL

Jillian Renee Hagerman, DO is a medicare enrolled "Pediatrics" physician in Tampa, Florida. Her current practice location is 17 Davis Blvd Ste 308, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 259-8725.

Jillian Renee Hagerman is licensed to practice in Washington (license number OP60954917) 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 1194111237.

Contact Information

	Jillian Renee Hagerman, DO
	17 Davis Blvd Ste 308, Tampa, FL 33606-3438
	(813) 259-8725
	(813) 259-8792

Map and Direction

Physician's Profile

Full Name	Jillian Renee Hagerman
Gender	Female
Speciality	Pediatrics
Location	17 Davis Blvd Ste 308, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194111237
Provider Enumeration Date: 04/14/2015
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6800145319
Enrollment ID: I20220817000274

Medical Identifiers

Medical identifiers for Jillian Renee Hagerman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194111237	NPI	-	NPPES
100088500	Medicaid	FL
52225	Other	FL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	OS15373 (Florida)	Secondary
208000000X	Pediatrics	OP60954917 (Washington)	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. Jillian Renee Hagerman allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

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. Jillian Renee Hagerman 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
Jillian Renee Hagerman, DO 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 Ph: (253) 596-3300	Jillian Renee Hagerman, DO 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 Ph: (813) 259-8725

Reviews and Comments

Pediatrics Doctors in Tampa, FL

Tracy C Burton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, 5th Floor, Tampa, FL 33606 Phone: 813-259-8752 Fax: 813-259-8749
Dr. Steven Lee Ford, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 Fax: 813-974-2812
Donald F Pitisci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2506 W Virginia Ave, Tampa, FL 33607 Phone: 813-870-3720 Fax: 813-877-0184
Dr. Carolyn Louise Marasco, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10330 N Dale Mabry Hwy, Ste 190, Tampa, FL 33618 Phone: 813-963-7788 Fax: 813-443-8149
Ellen Verena Jorgensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12901 Bruce B Downs Blvd, Mdc 15, Tampa, FL 33612 Phone: 813-974-2583
Dr. Jonni H Klapper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1202 E Palm Ave, School Health Services, Tampa, FL 33605 Phone: 813-273-7020 Fax: 813-273-7328
Dr. Raafat Ismail Hamzeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8907 Regents Park Dr, Suite 330, Tampa, FL 33647 Phone: 813-907-0233 Fax: 813-907-0064

Jillian Renee Hagerman, DO - Medicare Pediatrics in Tampa, FL