Lyle James Fagnan, MD in Portland, OR - Medicare Family Medicine

Lyle James Fagnan, MD is a medicare enrolled "Family Medicine" physician in Portland, Oregon. His current practice location is 4411 Sw Vermont St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-9992.

Lyle James Fagnan is licensed to practice in Oregon (license number MD10673) 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 1669487161.

Contact Information

	Lyle James Fagnan, MD
	4411 Sw Vermont St, Portland, OR 97219-1020
	(503) 494-9992
	Not Available

Map and Direction

Physician's Profile

Full Name	Lyle James Fagnan
Gender	Male
Speciality	Family Medicine
Location	4411 Sw Vermont St, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669487161
Provider Enumeration Date: 07/31/2006
Last Update Date: 07/13/2007

Medicare PECOS Information:

PECOS PAC ID: 9739087883
Enrollment ID: I20081007000261

Medical Identifiers

Medical identifiers for Lyle James Fagnan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669487161	NPI	-	NPPES
235119	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD10673 (Oregon)	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. Lyle James Fagnan allows following entities to bill medicare on his behalf.

Entity Name	Oregon Health & Science University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417969304 PECOS PAC ID: 1759328842 Enrollment ID: O20050516000173

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. Lyle James Fagnan 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
Lyle James Fagnan, MD 3181 Sw Sam Jackson Park Rd, L222, Portland, OR 97239-3011 Ph: (503) 494-1582	Lyle James Fagnan, MD 4411 Sw Vermont St, Portland, OR 97219-1020 Ph: (503) 494-9992

Reviews and Comments

Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779

Lyle James Fagnan, MD - Medicare Family Medicine in Portland, OR