Kimberly Elaine Fagen, MD in Baltimore, MD

Kimberly Elaine Fagen, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in Baltimore, Maryland. Her current practice location is 600 N Wolfe St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 955-5000.

Kimberly Elaine Fagen is licensed to practice in Maryland (license number D0083915) 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 1194795609.

Contact Information

	Kimberly Elaine Fagen, MD
	600 N Wolfe St, Baltimore, MD 21287-0005
	(410) 955-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Elaine Fagen
Gender	Female
Speciality	Radiology - Pediatric Radiology
Location	600 N Wolfe St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194795609
Provider Enumeration Date: 01/25/2006
Last Update Date: 02/27/2025

Medicare PECOS Information:

PECOS PAC ID: 8426239138
Enrollment ID: I20110228000655

Medical Identifiers

Medical identifiers for Kimberly Elaine Fagen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194795609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085P0229X	Radiology - Pediatric Radiology	ME138564 (Florida)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	D83915 (Maryland)	Secondary
2085P0229X	Radiology - Pediatric Radiology	D0083915 (Maryland)	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. Kimberly Elaine Fagen allows following entities to bill medicare on her behalf.

Entity Name	The Nemours Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252

Entity Name	Pediatric Physician Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770532798 PECOS PAC ID: 7113989849 Enrollment ID: O20041103001044

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. Kimberly Elaine Fagen 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
Kimberly Elaine Fagen, MD 6201 Greenleigh Ave, Baltimore, MD 21220-2004 Ph: (410) 933-1340	Kimberly Elaine Fagen, MD 600 N Wolfe St, Baltimore, MD 21287-0005 Ph: (410) 955-5000

Reviews and Comments

Radiology Doctors in Baltimore, MD

Dr. Barun Aryal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3001 S Hanover St, Dept Of Internal Medicine, Baltimore, MD 21225 Phone: 410-350-3565 Fax: 410-354-0186
Imran Ahmed, D.O Radiology Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Dept Of Radiology, Baltimore, MD 21201 Phone: 410-328-3477
Philip Reed Wills Mcdonagh Iii, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-6080
Michael Goldman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 Saint Paul Pl, Radiology Dept, Baltimore, MD 21202 Phone: 410-332-9266 Fax: 410-545-4255
Dr. Jeffrey R. Galvin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Dept Of Radiology, Baltimore, MD 21201 Phone: 410-328-3477
Martin Auster, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-0214
Amy K Pepperney, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7253 Ambassador Rd, Baltimore, MD 21244 Phone: 443-436-1151 Fax: 443-436-1256

Kimberly Elaine Fagen, MD - Medicare Radiology in Baltimore, MD