Camille Fagan, in Saint Louis, MO - Medicare Occupational Therapist Provider

Camille Fagan, is a medicare enrolled "Occupational Therapist - Gerontology" provider in Saint Louis, Missouri. Her current practice location is 11960 Westline Industrial Dr Ste 201, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (866) 433-9555.

Camille Fagan is licensed to practice in Missouri (license number 2019017425) 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 1164084455.

Contact Information

	Camille Fagan,
	11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209
	(866) 433-9555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Camille Fagan
Gender	Female
Speciality	Occupational Therapist - Gerontology
Location	11960 Westline Industrial Dr Ste 201, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164084455
Provider Enumeration Date: 07/08/2019
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 4486007754
Enrollment ID: I20240202001225

Medical Identifiers

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

Identifier	Type	State	Issuer
1164084455	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XG0600X	Occupational Therapist - Gerontology	2019017425 (Missouri)	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. Camille Fagan allows following entities to bill medicare on her behalf.

Provider Name	Choice Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1558996967 PECOS PAC ID: 7719308204 Enrollment ID: O20240104000845

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. Camille 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
Camille Fagan, 27130 Hunt Dr, Wright City, MO 63390-4419 Ph: (314) 446-9041	Camille Fagan, 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146-3209 Ph: (866) 433-9555

Reviews and Comments

Occupational Therapist in Saint Louis, MO

Michelle Lauren Chambers, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6022 S Lindbergh Blvd Ste 100, Saint Louis, MO 63123 Phone: 314-845-7751 Fax: 314-845-7752
Miss Kaitlin Marie Chilman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Magnolia Ave, Saint Louis, MO 63110 Phone: 618-841-7444
Hannah Florence, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4471 Olive St, Saint Louis, MO 63108 Phone: 314-531-0982
Jennifer Renee Hemmings, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1301 Partridge Ave, Saint Louis, MO 63130 Phone: 202-531-7306
Christina Eddins, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-3000
Emily Ruyle, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2718 Sutton Blvd, Saint Louis, MO 63143 Phone: 314-246-0751 Fax: 314-754-9926
Kathleen Sayler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10950 Coral Ridge Dr, Saint Louis, MO 63123 Phone: 314-724-3770

Camille Fagan, - Medicare Occupational Therapist in Saint Louis, MO