Jake Fagan, MD in Danville, PA - Medicare Micrographic Dermatologic Surgery (mds)

Jake Fagan, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Danville, Pennsylvania. He went to West Virginia University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Billings Clinic, Billings Clinic and his current practice location is 16 Woodbine Ln, Danville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 271-8050.

Jake Fagan is licensed to practice in Montana (license number MED-PHYS-LIC-76211) 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 1548688989.

Contact Information

	Jake Fagan, MD
	16 Woodbine Ln, Danville, PA 17821-8029
	(570) 271-8050
	(570) 271-5940

Map and Direction

Physician's Profile

Full Name	Jake Fagan
Gender	Male
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	10 Years
Location	16 Woodbine Ln, Danville, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jake Fagan attended and graduated from West Virginia University School Of Medicine in 2014

NPI Data:

NPI Number: 1548688989
Provider Enumeration Date: 04/02/2014
Last Update Date: 02/18/2021

Medicare PECOS Information:

PECOS PAC ID: 3577868264
Enrollment ID: I20190618000358

Medical Identifiers

Medical identifiers for Jake Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548688989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	MED-PHYS-LIC-76211 (Montana)	Primary
207N00000X	Dermatology	MED-PHYS-LIC-76211 (Montana)	Secondary
2086X0206X	Surgery - Surgical Oncology	MED-PHYS-LIC-76211 (Montana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Billings Clinic	Billings, MT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Billings Clinic	6002993516	659
Billings Clinic	6002993516	659

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. Jake Fagan allows following entities to bill medicare on his behalf.

Entity Name	Billings Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212

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. Jake Fagan 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
Jake Fagan, MD 16 Woodbine Ln, Danville, PA 17821-8029 Ph: (570) 271-8050	Jake Fagan, MD 16 Woodbine Ln, Danville, PA 17821-8029 Ph: (570) 271-8050

Reviews and Comments

Dermatology Doctors in Danville, PA

Dr. Ramya S Chockalingam, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Lane, Danville, PA 17822 Phone: 570-271-8074 Fax: 570-271-5940
Dr. Victor John Marks, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Ln, Danville, PA 17822 Phone: 570-271-8050 Fax: 570-271-5940
Dr. Cassondra Andreychik Ellison, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Ln, Danville, PA 17821 Phone: 570-271-8050 Fax: 570-271-5940
Dr. Victor J Marks, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 16 Woodbine Lane, Danville, PA 17822 Phone: 570-271-8050 Fax: 570-271-5940
Dr. Misha Matongo Mutizwa, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 16 Woodbine Lane, Danville, PA 17822 Phone: 570-271-8050 Fax: 570-271-5940
Dr. Katherine Chilek Marks, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 115 Woodbine Ln, Danville, PA 17821 Phone: 570-271-8050 Fax: 570-271-5940
Dr. Tammie C Ferringer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6338 Fax: 570-271-6105

Jake Fagan, MD - Medicare Micrographic Dermatologic Surgery (mds) in Danville, PA