| Dr Paul Anthony Fagan, DO | |
|
855 N Westhaven Dr, Oshkosh, WI 54904-7668 | |
| (920) 303-8700 | |
| (920) 303-8801 |
| Full Name | Dr Paul Anthony Fagan |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 16 Years |
| Location | 855 N Westhaven Dr, Oshkosh, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063646305 | NPI | - | NPPES |
| 100046679 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5101018111 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 63870-021 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Green bay, WI | Home health agency |
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Anthony Fagan, DO 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700 | Dr Paul Anthony Fagan, DO 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700 |
Bryan Royce, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 W 9th Ave Ste 125, Oshkosh, WI 54904 Phone: 920-430-8113 | |
Jeffrey R. Mclaughlin, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2700 W 9th Ave, Suite 125, Oshkosh, WI 54904 Phone: 920-223-0123 Fax: 920-223-0370 | |
Lyall Carlton Stilp Ii, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2133 Willow Ln, Oshkosh, WI 54902 Phone: 920-410-3381 | |
Dr. Kristen Kuratnick Sandoe, M.S., D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-3266 Fax: 920-456-5590 | |
Davis C. Tsai, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2700 W 9th Ave, Suite 125, Oshkosh, WI 54904 Phone: 920-223-0123 Fax: 920-223-0370 | |
John S Boyle, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 |