| Dr Wayne A Fagan, MD | |
|
4141 S. Staples Suite 300, Corpus Christi, TX 78411-2929 | |
| (361) 882-5560 | |
| (361) 882-6011 |
| Full Name | Dr Wayne A Fagan |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 29 Years |
| Location | 4141 S. Staples Suite 300, Corpus Christi, Texas |
| 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 |
|---|---|---|---|
| 1942206180 | NPI | - | NPPES |
| 86470Y | Other | TX | BLUE CROSS |
| 0040EE | Other | TX | BLUE CROSS BLUE SHIELD |
| 080856001 | Medicaid | TX | |
| 070017610 | Other | TX | MEDICARE RAILROAD |
| 1356536494 | Other | TX | GROUP NPI # |
| CK7292 | Other | TX | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0900X | Dermatology - Dermatopathology | 45D0913782 (Texas) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | J4105 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Texas Dermatology Pllc | 6305092859 | 11 |
| Entity Name | South Texas Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356536494 PECOS PAC ID: 6305092859 Enrollment ID: O20120816000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wayne A Fagan, MD 4141 S. Staples Suite 300, Corpus Christi, TX 78411-2155 Ph: (361) 882-5560 | Dr Wayne A Fagan, MD 4141 S. Staples Suite 300, Corpus Christi, TX 78411-2929 Ph: (361) 882-5560 |
Dr. Carmen Cecilia Casas, M. D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5756 S Staples St, Ste J1, Corpus Christi, TX 78413 Phone: 361-994-1001 Fax: 361-994-1004 | |
Madalyn Elaine Guelker, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4141 S Staples St Ste 300, Corpus Christi, TX 78411 Phone: 361-882-5560 Fax: 361-882-6011 | |
Dasha Rae Reynolds, LMT,LET Dermatology Medicare: Not Enrolled in Medicare Practice Location: 11633 Cripple Creek Dr, Corpus Christi, TX 78410 Phone: 361-726-7409 | |
Dr. Ryan T Rogers, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14650 Compass St Ste 1, Corpus Christi, TX 78418 Phone: 361-867-1032 Fax: 361-867-1018 | |
Dr. Richard L Devillez, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4141 S Staples St # 300, Corpus Christi, TX 78411 Phone: 316-882-5560 Fax: 316-882-6011 | |
Mary Cathleen Cole-perez, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5920 Saratoga Blvd, Suite 400, Corpus Christi, TX 78414 Phone: 361-993-7546 Fax: 361-993-6617 | |
Nathan Andrew Davis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4141 S. Staples Suite 300, Corpus Christi, TX 78411 Phone: 361-882-5560 Fax: 361-882-6011 |