Dr Scott Fagan, MD | |
7460 Warren Pkwy Ste 100, Frisco, TX 75034-4170 | |
(496) 287-7825 | |
Not Available |
Full Name | Dr Scott Fagan |
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Gender | Male |
Speciality | General Practice |
Location | 7460 Warren Pkwy Ste 100, Frisco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447495585 | NPI | - | NPPES |
1358347 | Medicaid | MS | |
1358347 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 21413 (Mississippi) | Secondary |
208D00000X | General Practice | MD. 202440 (Louisiana) | Secondary |
208D00000X | General Practice | R5388 (Texas) | Primary |
Entity Name | Lasalle Parish Hospital Service District #1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
Entity Name | Oakdale Ess Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
Mailing Address | Practice Location Address |
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Dr Scott Fagan, MD 7460 Warren Pkwy Ste 100, Frisco, TX 75034-4170 Ph: () - | Dr Scott Fagan, MD 7460 Warren Pkwy Ste 100, Frisco, TX 75034-4170 Ph: (496) 287-7825 |
Tricia J. O'brien, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 8641 5th St, Suite W8, Frisco, TX 75034 Phone: 214-631-9321 Fax: 888-975-4204 | |
Kyle Kalra, DO General Practice Medicare: Medicare Enrolled Practice Location: 12600 Rolater Rd # 120, Frisco, TX 75035 Phone: 469-200-5222 | |
Stacy Elise Hamid, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6352 Bushwoods Dr, Frisco, TX 75034 Phone: 972-375-2393 |