Mrs Ellen Catherine Fagan-pryor, MSN, PMHCNS, RN - Medicare Registered Nurse in Fort Wayne, IN

Mrs Ellen Catherine Fagan-pryor, MSN, PMHCNS, RN is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Fort Wayne, Indiana. Her current practice location is 2121 Lake Avene, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 445-2123.

Mrs Ellen Catherine Fagan-pryor is licensed to practice in Indiana (license number 28101257A) 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 1508961236.

Contact Information

Mrs Ellen Catherine Fagan-pryor, MSN, PMHCNS, RN
2121 Lake Avene,
Fort Wayne, IN 46805-5100
(260) 445-2123
Not Available

Map and Direction




Provider's Profile

Full NameMrs Ellen Catherine Fagan-pryor
GenderFemale
SpecialityRegistered Nurse - Psychiatric/mental Health, Adult
Location2121 Lake Avene, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508961236
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 03/27/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3476722323
  • Enrollment ID: I20110810000003

Medical Identifiers

Medical identifiers for Mrs Ellen Catherine Fagan-pryor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508961236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult 28101257A (Indiana)Primary

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. Mrs Ellen Catherine Fagan-pryor 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 AddressPractice Location Address
Mrs Ellen Catherine Fagan-pryor, MSN, PMHCNS, RN
8818 Hoffman Rd,
Fort Wayne, IN 46816-9595

Ph: (260) 639-6767
Mrs Ellen Catherine Fagan-pryor, MSN, PMHCNS, RN
2121 Lake Avene,
Fort Wayne, IN 46805-5100

Ph: (260) 445-2123

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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