Mrs Kelly Ann Fagan, CCC-SLP in Greenville, NY - Medicare Speech-Language Pathologist Provider

Mrs Kelly Ann Fagan, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Greenville, New York. Her current practice location is 2352 County Route 41, Greenville, New York. You can reach out to her office (for appointments etc.) via phone at (518) 966-5447.

Mrs Kelly Ann Fagan is licensed to practice in New York (license number 008897) 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 1659516623.

Contact Information

	Mrs Kelly Ann Fagan, CCC-SLP
	2352 County Route 41, Greenville, NY 12083-4626
	(518) 966-5447
	(518) 966-5447

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kelly Ann Fagan
Gender	Female
Speciality	Speech-language Pathologist
Location	2352 County Route 41, Greenville, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659516623
Provider Enumeration Date: 12/04/2008
Last Update Date: 12/04/2008

Medicare PECOS Information:

PECOS PAC ID: 2769884857
Enrollment ID: I20210712004011

Medical Identifiers

Medical identifiers for Mrs Kelly Ann Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659516623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	008897 (New York)	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. Mrs Kelly Ann Fagan allows following entities to bill medicare on her behalf.

Provider Name	The College Of Saint Rose
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043892136 PECOS PAC ID: 3870995921 Enrollment ID: O20210712002446

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. Mrs Kelly Ann 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
Mrs Kelly Ann Fagan, CCC-SLP 2352 County Route 41, Greenville, NY 12083-4626 Ph: (518) 966-5447	Mrs Kelly Ann Fagan, CCC-SLP 2352 County Route 41, Greenville, NY 12083-4626 Ph: (518) 966-5447

Reviews and Comments

Speech-Language Pathologist in Greenville, NY

Mrs. Faith Kristin Smith, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 59 Barnside Rd, Greenville, NY 12083 Phone: 518-966-4727
Jennifer E Jones, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 104 Devan Rd, Greenville, NY 12083 Phone: 518-966-8869
Mrs. Courtney Ann Reinhard, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17 Brookside Way, Greenville, NY 12083 Phone: 518-966-4640
Jennifer Brown, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4976 Rt 81, Greenville, NY 12083 Phone: 518-966-5070
Mrs. Deborah J. Sacco-vonatzingen, MS SLP CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 504 Irving Rd, Greenville, NY 12083 Phone: 518-966-4626

Mrs Kelly Ann Fagan, CCC-SLP - Medicare Speech-Language Pathologist in Greenville, NY