Kiley Katherine Fagan, MD in Roswell, GA

Kiley Katherine Fagan, MD is a medicare enrolled "Dermatology" physician in Roswell, Georgia. Her current practice location is 775 Aronson Lake Ct, Roswell, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 296-3795.

Kiley Katherine Fagan is licensed to practice in Georgia (license number 10808) 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 1003479254.

Contact Information

	Kiley Katherine Fagan, MD
	775 Aronson Lake Ct, Roswell, GA 30075-7172
	(770) 296-3795
	Not Available

Map and Direction

Physician's Profile

Full Name	Kiley Katherine Fagan
Gender	Female
Speciality	Dermatology
Location	775 Aronson Lake Ct, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003479254
Provider Enumeration Date: 04/15/2019
Last Update Date: 04/15/2019

Medicare PECOS Information:

PECOS PAC ID: 4587998257
Enrollment ID: I20230921004200

Medical Identifiers

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

Identifier	Type	State	Issuer
1003479254	NPI	-	NPPES
10808	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	10808 (Georgia)	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. Kiley Katherine Fagan allows following entities to bill medicare on her behalf.

Entity Name	Dermatology Associates Of Georgia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063560803 PECOS PAC ID: 3678547569 Enrollment ID: O20040825001091

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. Kiley Katherine 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
Kiley Katherine Fagan, MD 775 Aronson Lake Ct, Roswell, GA 30075-7172 Ph: (770) 296-3795	Kiley Katherine Fagan, MD 775 Aronson Lake Ct, Roswell, GA 30075-7172 Ph: (770) 296-3795

Reviews and Comments

Dermatology Doctors in Roswell, GA

Dr. Judith Lila Silverstein, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076 Phone: 770-751-1133 Fax: 770-751-7410
Dr. Heather Hensley Ivy, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 280, Roswell, GA 30076 Phone: 770-754-0787
Dr. Josh A Hammel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 280, Roswell, GA 30076 Phone: 770-754-0787 Fax: 770-755-5890
Dr. Michael Scott Fisher, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076 Phone: 770-751-1133 Fax: 770-751-7410
Dr. Eugene Sanik, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2500 Hospital Blvd, Suite 280, Roswell, GA 30076 Phone: 770-754-0787 Fax: 866-763-0787
Dr. Kevin S Berman, M.D, , PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1265 Upper Hembree Rd, Ste 100, Roswell, GA 30076 Phone: 770-751-1133 Fax: 770-751-7410

Kiley Katherine Fagan, MD - Medicare Dermatology in Roswell, GA