Thomas Fagan, MD in Madera, CA - Medicare Pediatrics

Thomas Fagan, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Madera, California. His current practice location is 9300 Valley Childrens Pl # Sc05, Madera, California. You can reach out to his office (for appointments etc.) via phone at (559) 353-5700.

Thomas Fagan is licensed to practice in California (license number G174751) 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 1134116494.

Contact Information

	Thomas Fagan, MD
	9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761
	(559) 353-5700
	(559) 353-5708

Map and Direction

Physician's Profile

Full Name	Thomas Fagan
Gender	Male
Speciality	Pediatrics - Pediatric Cardiology
Location	9300 Valley Childrens Pl # Sc05, Madera, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134116494
Provider Enumeration Date: 10/03/2005
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 7618972662
Enrollment ID: I20220627002479

Medical Identifiers

Medical identifiers for Thomas Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134116494	NPI	-	NPPES
30488001	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	44826 (Colorado)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	53605 (Tennessee)	Secondary
2080P0202X	Pediatrics - Pediatric Cardiology	G174751 (California)	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. Thomas Fagan allows following entities to bill medicare on his behalf.

Entity Name	University Pediatricians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125

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. Thomas 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
Thomas Fagan, MD 9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761 Ph: (559) 353-5700	Thomas Fagan, MD 9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761 Ph: (559) 353-5700

Reviews and Comments

Pediatrics Doctors in Madera, CA

Dr. Meera Ramayya, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Mb23, Madera, CA 93636 Phone: 559-353-6600 Fax: 559-353-6612
Dr. Sudhakar Reddivalam, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl, Madera, CA 93638 Phone: 559-353-5550 Fax: 559-353-5587
Dr. Whitney Lyn Kalin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-5700 Fax: 559-353-5708
John Sanchez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9300 Valley Childrens Pl, Madera, CA 93638 Phone: 559-353-5068 Fax: 559-353-5426
Dr. Jeffrey Thomas Pietz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl # Se21, Madera, CA 93636 Phone: 559-353-8769
Saul Jacob, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl # Gw12, Madera, CA 93636 Phone: 559-353-5068 Fax: 559-353-5426
Keenia Tappin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Valley Childrens Pl, Madera, CA 93636 Phone: 559-353-5174

Thomas Fagan, MD - Medicare Pediatrics in Madera, CA