Mrs Tara Ts Fagan, APRN in Westbrook, CT - Medicare Nurse Practitioner

Mrs Tara Ts Fagan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Westbrook, Connecticut. Her current practice location is 250 Flat Rock Pl, Westbrook, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 358-3760.

Mrs Tara Ts Fagan is licensed to practice in Connecticut (license number 4711) 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 1114205473.

Contact Information

	Mrs Tara Ts Fagan, APRN
	250 Flat Rock Pl, Westbrook, CT 06498-1565
	(860) 358-3760
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tara Ts Fagan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	250 Flat Rock Pl, Westbrook, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114205473
Provider Enumeration Date: 08/03/2011
Last Update Date: 03/02/2017

Medicare PECOS Information:

PECOS PAC ID: 9436311362
Enrollment ID: I20120510000101

Medical Identifiers

Medical identifiers for Mrs Tara Ts Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114205473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4711 (Connecticut)	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. Mrs Tara Ts Fagan allows following entities to bill medicare on her behalf.

Entity Name	Mc Diagnostic Of Connecticut, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386821932 PECOS PAC ID: 0941382113 Enrollment ID: O20080126000057

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 Tara Ts 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
Mrs Tara Ts Fagan, APRN 7 Partridge Hollow Rd, Killingworth, CT 06419-1025 Ph: (860) 452-4042	Mrs Tara Ts Fagan, APRN 250 Flat Rock Pl, Westbrook, CT 06498-1565 Ph: (860) 358-3760

Reviews and Comments

Nurse Practitioner Nurses in Westbrook, CT

Megin Iaccarino, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498 Phone: 860-664-3553 Fax: 860-358-8656
Melissa Kay Tuohy, APRN, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Grove Beach Rd N, Westbrook, CT 06498 Phone: 475-434-2690
Alyssa Marie Gambardella, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Grove Beach Rd N Ste 1b, Westbrook, CT 06498 Phone: 475-434-2960
Julie Martin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Flat Rock Pl, Westbrook, CT 06498 Phone: 860-358-3640 Fax: 860-358-8656
Ms. Carol Anne Standish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Flat Rock Pl Fl 2, Westbrook, CT 06498 Phone: 860-358-3640 Fax: 860-358-8656
Ms. Laura E. Wing, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498 Phone: 860-358-3640 Fax: 860-358-8656

Mrs Tara Ts Fagan, APRN - Medicare Nurse Practitioner in Westbrook, CT