Samuel Allen Fagenholz, MD - Pediatrics in Erie, PA

Samuel Allen Fagenholz, MD is a Pediatrics physician based in Erie, Pennsylvania. Samuel Allen Fagenholz is licensed to practice in Pennsylvania (license number MD021621E) and his current practice location is 300 State St Ste 301, Erie, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (814) 877-7907.

NPI number for Samuel Allen Fagenholz is 1376549998 and his current mailing address is 300 State St Ste 301, Erie, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376549998.

Contact Information

Samuel Allen Fagenholz, MD
300 State St Ste 301,
Erie, PA 16507-1430
(814) 877-7907
(814) 877-6791



Physician's Profile

Full NameSamuel Allen Fagenholz
GenderMale
SpecialityPediatrics
Location300 State St Ste 301, Erie, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376549998
  • Provider Enumeration Date: 06/28/2005
  • Last Update Date: 03/18/2013

Medical Identifiers

Medical identifiers for Samuel Allen Fagenholz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376549998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD021621E (Pennsylvania)Primary
2080P0214XPediatrics - Pediatric Pulmonology MD021621E (Pennsylvania)Secondary

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. Samuel Allen Fagenholz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Allen Fagenholz, MD
300 State St Ste 301,
Erie, PA 16507-1430

Ph: (814) 877-7907
Samuel Allen Fagenholz, MD
300 State St Ste 301,
Erie, PA 16507-1430

Ph: (814) 877-7907

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› Verified 8 days ago


Pediatrics Doctors in Erie, PA

Joseph C Barber, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3580 Peach St, Erie, PA 16508
Phone: 814-868-9633    Fax: 814-866-1436
Cynthia Weibel,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3580 Peach St, Suite 100, Erie, PA 16508
Phone: 814-868-9633    
Dr. Lynne M Birkmeyer, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1202 State St, Erie, PA 16501
Phone: 814-454-4530    
Michael Balsan,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 201 State St, Nicu Department, Erie, PA 16550
Phone: 814-877-6000    
Shannon Moore,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 300 State St, Suite 301, Erie, PA 16507
Phone: 814-877-7907    
Maria Irma Santos Leonard, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4022 Zuck Rd, Erie, PA 16506
Phone: 814-877-5424    Fax: 814-877-5423
Sant Ram, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2123 W 8th St, Erie, PA 16505
Phone: 814-453-5056    

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