Ms Marylyn A Hagerty, DNP FNP is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Cerritos, California. Her current practice location is
12900 Park Plaza Dr Ste 150, Cerritos, California. You can reach out to her office (for appointments etc.) via phone at
(562) 229-4831.
Ms Marylyn A Hagerty is licensed to practice in California (license number 21337) 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 1548558968.
Provider's Profile
Full Name | Ms Marylyn A Hagerty |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Family Health |
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Location | 12900 Park Plaza Dr Ste 150, Cerritos, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548558968
- Provider Enumeration Date: 07/19/2011
- Last Update Date: 08/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 5496700692
- Enrollment ID: I20160411001093
Medical Identifiers
Medical identifiers for Ms Marylyn A Hagerty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548558968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | 267941 (California) | Secondary |
364SF0001X | Clinical Nurse Specialist - Family Health | 21337 (California) | 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. Ms Marylyn A Hagerty 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 |
Ms Marylyn A Hagerty, DNP FNP 1808 Calle Mayita, San Clemente, CA 92672-2306 Ph: (949) 933-2620 | Ms Marylyn A Hagerty, DNP FNP 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703 Ph: (562) 229-4831 |
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