Agnes Fagan, APN in Sewell, NJ - Medicare Nurse Practitioner

Agnes Fagan, APN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Sewell, New Jersey. Her current practice location is 269 Fish Pond Rd, Sewell, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 863-9999.

Agnes Fagan is licensed to practice in New Jersey (license number 26NJ00851200) 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 1538635669.

Contact Information

	Agnes Fagan, APN
	269 Fish Pond Rd, Sewell, NJ 08080-3047
	(856) 863-9999
	(856) 863-9666

Map and Direction

Provider's Profile

Full Name	Agnes Fagan
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	269 Fish Pond Rd, Sewell, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538635669
Provider Enumeration Date: 10/16/2018
Last Update Date: 10/16/2018

Medicare PECOS Information:

PECOS PAC ID: 9335485416
Enrollment ID: I20190110000890

Medical Identifiers

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

Identifier	Type	State	Issuer
1538635669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	26NJ00851200 (New Jersey)	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. Agnes Fagan allows following entities to bill medicare on her behalf.

Entity Name	Advocare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217

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. Agnes 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
Agnes Fagan, APN 269 Fish Pond Rd, Sewell, NJ 08080-3047 Ph: (856) 863-9999	Agnes Fagan, APN 269 Fish Pond Rd, Sewell, NJ 08080-3047 Ph: (856) 863-9999

Reviews and Comments

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Agnes Fagan, APN - Medicare Nurse Practitioner in Sewell, NJ