Kathleen M Fagan, MD - Preventive Medicine in Cleveland, OH

Kathleen M Fagan, MD is a Preventive Medicine - Preventive Medicine/occupational Environmental Medicine physician based in Cleveland, Ohio. Kathleen M Fagan is licensed to practice in Ohio (license number 35051175) and her current practice location is 11100 Euclid Avenue, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at (216) 844-7700.

NPI number for Kathleen M Fagan is 1528005543 and her current mailing address is 3605 Warrensville Ctr Rd, Msc9152, Shaker Hts, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528005543.

Contact Information

Kathleen M Fagan, MD
11100 Euclid Avenue,
Cleveland, OH 44106
(216) 844-7700
(216) 286-6299

Map and Direction




Physician's Profile

Full NameKathleen M Fagan
GenderFemale
SpecialityPreventive Medicine - Preventive Medicine/occupational Environmental Medicine
Location11100 Euclid Avenue, Cleveland, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528005543
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 06/12/2008

Medical Identifiers

Medical identifiers for Kathleen M Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528005543NPI-NPPES
0607641MedicaidOH
000000221255OtherOHUNISON
4052254OtherOHAETNA
000000525944OtherOHANTHEM
363514OtherOHWELLCARE
0607641OtherOHBCMH
745904OtherOHBUCKEYE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0500XPreventive Medicine - Preventive Medicine/occupational Environmental Medicine 35051175 (Ohio)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. Kathleen M Fagan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen M Fagan, MD
3605 Warrensville Ctr Rd, Msc9152,
Shaker Hts, OH 44122

Ph: (216) 286-6299
Kathleen M Fagan, MD
11100 Euclid Avenue,
Cleveland, OH 44106

Ph: (216) 844-7700

Reviews and Comments


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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.

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