Reagan Gagnon, PA-C, CAQ-PSY is a medicare enrolled "Physician Assistant" in Carlisle, Massachusetts. Her current practice location is
134 East St, Carlisle, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(415) 509-4237.
Reagan Gagnon is licensed to practice in Massachusetts (license number PA5561) 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 1609299213.
Provider's Profile
| Full Name | Reagan Gagnon |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 134 East St, Carlisle, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609299213
- Provider Enumeration Date: 02/03/2014
- Last Update Date: 06/30/2026
Medicare PECOS Information:
- PECOS PAC ID: 8628292877
- Enrollment ID: I20160126001163
Medical Identifiers
Medical identifiers for Reagan Gagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609299213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA5561 (Massachusetts) | Primary |
| 363A00000X | Physician Assistant | PA1426 (Maine) | Secondary |
| 363A00000X | Physician Assistant | 3681 (New Hampshire) | Secondary |
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. Reagan Gagnon allows following entities to bill medicare on her behalf.
| Entity Name | Mount Auburn Professional Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992750996
PECOS PAC ID: 6103725031
Enrollment ID: O20040527001374 |
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| Entity Name | Lahey Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063447316
PECOS PAC ID: 2264336528
Enrollment ID: O20040629001269 |
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| Entity Name | Emerson Practice Associates, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508020199
PECOS PAC ID: 8123188117
Enrollment ID: O20081120000518 |
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| Entity Name | Supportive Behavioral Care of Ma LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780115519
PECOS PAC ID: 8628346731
Enrollment ID: O20170614000877 |
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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. Reagan Gagnon 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 |
|---|
Reagan Gagnon, PA-C, CAQ-PSY
134 East St,
Carlisle, MA 01741-1105
Ph: (415) 509-4237 | Reagan Gagnon, PA-C, CAQ-PSY
134 East St,
Carlisle, MA 01741-1105
Ph: (415) 509-4237 |
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