Kimberly Elaine Fagen, MD - Medicare Radiology in St Petersburg, FL

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Kimberly Elaine Fagen, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in St Petersburg, Florida. Her current practice location is 501 6th St S, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 898-7451.

Kimberly Elaine Fagen is licensed to practice in Florida (license number ME138564) 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
501 6th St S,
St Petersburg, FL 33701-4630
(727) 898-7451
Not Available

Map and Direction




Physician's Profile

Full NameKimberly Elaine Fagen
GenderFemale
SpecialityRadiology - Pediatric Radiology
Location501 6th St S, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare 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: 03/08/2023
  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.
IdentifierTypeStateIssuer
1194795609NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology D83915 (Maryland)Secondary
2085P0229XRadiology - Pediatric Radiology ME138564 (Florida)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 NamePediatric Physician Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770532798
PECOS PAC ID: 7113989849
Enrollment ID: O20041103001044
Entity NameSteuben Radiology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679536411
PECOS PAC ID: 2961416946
Enrollment ID: O20150722004177

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 AddressPractice Location Address
Kimberly Elaine Fagen, MD
501 6th St S,
St Petersburg, FL 33701-4630

Ph: (727) 898-7451		Kimberly Elaine Fagen, MD
501 6th St S,
St Petersburg, FL 33701-4630

Ph: (727) 898-7451

Reviews and Comments


Radiology Doctors in St Petersburg, FL

Dr. Richard A. Leverone, DC
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Dr. Matthew J Rahaim, MD
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Phone: 727-825-1100    Fax: 727-827-5155
Dr. Lowell Dean Dawson, M.D.
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Phone: 727-893-6435    Fax: 727-893-6436
Sally E Mitchell, M.D.
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Practice Location: 501 6th Ave S, St Petersburg, FL 33701
Phone: 727-767-3318    
John Carpenter Barnes, M.D.
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Phone: 727-456-3288    Fax: 727-456-3289

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.