Landrey Fagan, MD in Boulder, CO - Medicare General Practice

Landrey Fagan, MD is a medicare enrolled "Family Medicine" physician in Boulder, Colorado. She went to Georgetown University School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as General Practice. She is a member of the group practice Select Physical Therapy Of West Denver Limited Partnership, Select Physical Therapy Of West Denver Limited Partnership, Catholic Health Initiatives Colorado and her current practice location is 3434 47th St Ste 225, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 792-2852.

Landrey Fagan is licensed to practice in Colorado (license number DR.0060345) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548423817.

Contact Information

	Landrey Fagan, MD
	3434 47th St Ste 225, Boulder, CO 80301-1880
	(720) 792-2852
	(303) 586-7592

Map and Direction

Physician's Profile

Full Name	Landrey Fagan
Gender	Female
Speciality	General Practice
Experience	17 Years
Location	3434 47th St Ste 225, Boulder, Colorado
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Landrey Fagan attended and graduated from Georgetown University School Of Medicine in 2008

NPI Data:

NPI Number: 1548423817
Provider Enumeration Date: 07/08/2008
Last Update Date: 12/03/2024

Medicare PECOS Information:

PECOS PAC ID: 9537339718
Enrollment ID: I20180905002457

Medical Identifiers

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

Identifier	Type	State	Issuer
1548423817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DR0060345 (Colorado)	Secondary
208M00000X	Hospitalist	DR.0060345 (Colorado)	Secondary
207Q00000X	Family Medicine	DR.0060345 (Colorado)	Primary
207Q00000X	Family Medicine	246674 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Longmont United Hospital	Longmont, CO	Hospital
Boulder Community Health	Boulder, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Select Physical Therapy Of West Denver Limited Partnership	6709771157	183
Select Physical Therapy Of West Denver Limited Partnership	6709771157	183
Catholic Health Initiatives Colorado	8022927342	1231

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. Landrey Fagan allows following entities to bill medicare on her behalf.

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462

Entity Name	Portercare Adventist Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327

Entity Name	Four Mile Creek Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225854425 PECOS PAC ID: 3375063704 Enrollment ID: O20250227003818

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. Landrey 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
Landrey Fagan, MD 1950 Mountain View Ave, Longmont, CO 80501-3129 Ph: (303) 651-5111	Landrey Fagan, MD 3434 47th St Ste 225, Boulder, CO 80301-1880 Ph: (720) 792-2852

Reviews and Comments

Family Medicine Doctors in Boulder, CO

Jill Siegfried, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3000
Stefan J. Chimoskey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 Arapahoe Ave, Unit D180, Boulder, CO 80303 Phone: 720-845-5858 Fax: 505-288-3642
Karin Dejong Vanbaak, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5495 Arapahoe Ave, Boulder, CO 80303 Phone: 720-848-9200
Dr. Peter C Ewing, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2995 Baseline Rd, Suite 210, Boulder, CO 80303 Phone: 303-443-2544 Fax: 303-443-6475
Andrew James Mcbride, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1755 48th St Ste 200, Boulder, CO 80301 Phone: 303-415-7450 Fax: 303-494-5265
Dr. Gary S. Kahn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 995 Quince Ave, Boulder, CO 80304 Phone: 303-395-4321
Dr. Michael Corey Mccarty, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6685 Gunpark Dr, Ste. 110, Boulder, CO 80301 Phone: 303-415-7599 Fax: 303-530-5474

Landrey Fagan, MD - Medicare General Practice in Boulder, CO