Tamra Ann Fagan, PHD | |
211 Cool Springs Blvd, Franklin, TN 37067-7242 | |
(800) 632-6074 | |
(866) 341-7509 |
Full Name | Tamra Ann Fagan |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 211 Cool Springs Blvd, Franklin, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508967845 | NPI | - | NPPES |
4057799 | Other | TN | BCBS |
3982871 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | P0000001827 (Tennessee) | Primary |
Entity Name | Key Rehabilitation,inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528136249 PECOS PAC ID: 9638086432 Enrollment ID: O20040609001217 |
Mailing Address | Practice Location Address |
---|---|
Tamra Ann Fagan, PHD Po Box 10414, Largo, FL 33773-0414 Ph: (800) 632-6074 | Tamra Ann Fagan, PHD 211 Cool Springs Blvd, Franklin, TN 37067-7242 Ph: (800) 632-6074 |
Dr. James Patrick Loveless, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3326 Aspen Grove Dr Ste 240, Franklin, TN 37067 Phone: 615-270-5325 | |
Dean Hayes, PH.D., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 Holiday Ct Ste 203, Franklin, TN 37067 Phone: 831-807-1411 | |
Dr. Skyler G. Shollenbarger, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 236 3rd Ave N, Franklin, TN 37064 Phone: 931-219-9778 | |
Dr. Susan S. Han, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 Mission Ct, Suite 106, Franklin, TN 37067 Phone: 615-905-5521 Fax: 615-807-3846 | |
Earl Glenn Barnes, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 213 Chapelwood Dr, Franklin, TN 37069 Phone: 615-202-0928 | |
Dr. Robert De La Torre, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 192 Clarendon Cir, Franklin, TN 37069 Phone: 615-414-6874 | |
Hampton P Howell Iii, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 354 Cool Springs Blvd, Ste. 105, Franklin, TN 37067 Phone: 615-771-1100 Fax: 615-771-1109 |