Mary Fagan, is a medicare enrolled "Nurse Practitioner - Primary Care" physician in West Chester, Pennsylvania. Her current practice location is
1055 Andrew Dr Ste B, West Chester, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 436-4448.
Mary Fagan is licensed to practice in Pennsylvania (license number SPO27461) 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 1801588777.
Physician's Profile
Full Name | Mary Fagan |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 1055 Andrew Dr Ste B, West Chester, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801588777
- Provider Enumeration Date: 05/22/2023
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466806526
- Enrollment ID: I20230925000939
Medical Identifiers
Medical identifiers for Mary Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801588777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | SPO27461 (Pennsylvania) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | SPO27461 (Pennsylvania) | 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. Mary Fagan allows following entities to bill medicare on her behalf.
Entity Name | Clinical Care Associates Of The University Of Pennsylvania Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301 |
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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. Mary 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 Address | Practice Location Address |
Mary Fagan, 306 Shropshire Dr, West Chester, PA 19382-2216 Ph: (610) 653-2645 | Mary Fagan, 1055 Andrew Dr Ste B, West Chester, PA 19380-3446 Ph: (610) 436-4448 |
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