Melissa Fagan, in Conyers, GA - Medicare Nurse Practitioner

Melissa Fagan, is a medicare enrolled "Nurse Practitioner - Family" in Conyers, Georgia. Her current practice location is 2215 Exchange Pl Se, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 922-3522.

Melissa Fagan is licensed to practice in Georgia (license number RN210303) 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 1598156408.

Contact Information

	Melissa Fagan,
	2215 Exchange Pl Se, Conyers, GA 30013-6723
	(770) 922-3522
	(770) 922-3662

Map and Direction

Provider's Profile

Full Name	Melissa Fagan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2215 Exchange Pl Se, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598156408
Provider Enumeration Date: 02/13/2015
Last Update Date: 02/13/2015

Medicare PECOS Information:

PECOS PAC ID: 2860710993
Enrollment ID: I20150421001307

Medical Identifiers

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

Identifier	Type	State	Issuer
1598156408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN210303 (Georgia)	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. Melissa Fagan allows following entities to bill medicare on her behalf.

Entity Name	Saint Joseph's Mercy Care Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588663421 PECOS PAC ID: 9931191525 Enrollment ID: O20050516000862

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. Melissa 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
Melissa Fagan, 2215 Exchange Pl Se, Conyers, GA 30013-6723 Ph: (770) 922-3522	Melissa Fagan, 2215 Exchange Pl Se, Conyers, GA 30013-6723 Ph: (770) 922-3522

Reviews and Comments

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Nathalie G Bailey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1280 Dogwood Dr Se, Conyers, GA 30013 Phone: 404-994-4662
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Melissa Fagan, - Medicare Nurse Practitioner in Conyers, GA