| Dr Scott Fagan, MD | |
|
7460 Warren Pkwy Ste 100, Frisco, TX 75034-4170 | |
| (496) 287-7825 | |
| Not Available |
| Full Name | Dr Scott Fagan |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 7460 Warren Pkwy Ste 100, Frisco, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447495585 | NPI | - | NPPES |
| 1358347 | Medicaid | MS | |
| 1358347 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 21413 (Mississippi) | Secondary |
| 208D00000X | General Practice | MD. 202440 (Louisiana) | Secondary |
| 208D00000X | General Practice | R5388 (Texas) | Primary |
| Entity Name | Lasalle Parish Hospital Service District #1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438 |
| Entity Name | Oakdale Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Fagan, MD 7460 Warren Pkwy Ste 100, Frisco, TX 75034-4170 Ph: () - | Dr Scott Fagan, MD 7460 Warren Pkwy Ste 100, Frisco, TX 75034-4170 Ph: (496) 287-7825 |
Tricia J. O'brien, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 8641 5th St, Suite W8, Frisco, TX 75034 Phone: 214-631-9321 Fax: 888-975-4204 | |
Kyle Kalra, DO General Practice Medicare: Medicare Enrolled Practice Location: 12600 Rolater Rd # 120, Frisco, TX 75035 Phone: 469-200-5222 | |
Stacy Elise Hamid, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 6352 Bushwoods Dr, Frisco, TX 75034 Phone: 972-375-2393 |