Dr John Anderson Fagg, MD is a medicare enrolled "Plastic Surgery" physician in Winston-salem, North Carolina. He went to Wake Forest University School Of Medicine and graduated in 1971 and has 53 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Forsyth Plastic Surgical Assoc Pa and his current practice location is
2901 Maplewood Ave, Winston-salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 765-8620.
Dr John Anderson Fagg is licensed to practice in North Carolina (license number 200001199779) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316905508.
Physician's Profile
| Full Name | Dr John Anderson Fagg |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 53 Years |
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| Location | 2901 Maplewood Ave, Winston-salem, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John Anderson Fagg attended and graduated from Wake Forest University School Of Medicine in 1971
NPI Data:
- NPI Number: 1316905508
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 12/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 5799699229
- Enrollment ID: I20040928001311
Medical Identifiers
Medical identifiers for Dr John Anderson Fagg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316905508 | NPI | - | NPPES |
| 240001710 | Other | NC | RAILROAD MEDICARE |
| 8931036 | Medicaid | NC | |
| 60623 | Other | NC | MEDCOST |
| 31036 | Other | NC | BCBS |
| 912 | Other | NC | PARTNERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208200000X | Plastic Surgery | 200001199779 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Forsyth Plastic Surgical Assoc Pa | 9537358395 | 5 |
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. Dr John Anderson Fagg allows following entities to bill medicare on his behalf.
| Entity Name | Forsyth Plastic Surgical Assoc Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811090475
PECOS PAC ID: 9537358395
Enrollment ID: O20110110000097 |
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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. Dr John Anderson Fagg 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 |
|---|
Dr John Anderson Fagg, MD
2901 Maplewood Ave,
Winston-salem, NC 27103
Ph: (336) 765-8620 | Dr John Anderson Fagg, MD
2901 Maplewood Ave,
Winston-salem, NC 27103
Ph: (336) 765-8620 |
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