Timothy D Fagen, DO - Pathology in Saint Louis, MO

Timothy D Fagen, DO is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Saint Louis, Missouri. Timothy D Fagen is licensed to practice in Missouri (license number 2010014000) and his current practice location is 1402 S Grand Blvd Ste M260, St Louis University Gme, Saint Louis, Missouri. He can be reached at his office (for appointments etc.) via phone at (314) 577-8782.

NPI number for Timothy D Fagen is 1750315958 and his current mailing address is 1402 S Grand Blvd Ste M260, St Louis University Gme, Saint Louis, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750315958.

Contact Information

Timothy D Fagen, DO
1402 S Grand Blvd Ste M260, St Louis University Gme,
Saint Louis, MO 63104-1004
(314) 577-8782
Not Available



Physician's Profile

Full NameTimothy D Fagen
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location1402 S Grand Blvd Ste M260, Saint Louis, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750315958
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 08/11/2010

Medical Identifiers

Medical identifiers for Timothy D Fagen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750315958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 5101017047 (Michigan)Secondary
208D00000XGeneral Practice DOS 1120 (Hawaii)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 2010014000 (Missouri)Primary

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. Timothy D Fagen 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
Timothy D Fagen, DO
1402 S Grand Blvd Ste M260, St Louis University Gme,
Saint Louis, MO 63104-1004

Ph: (314) 577-8782
Timothy D Fagen, DO
1402 S Grand Blvd Ste M260, St Louis University Gme,
Saint Louis, MO 63104-1004

Ph: (314) 577-8782

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› Verified 6 days ago


Pathology Doctors in Saint Louis, MO

Dr. Erin Elizabeth Ely, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Clark Ave, Saint Louis, MO 63103
Phone: 314-622-4971    Fax: 314-977-7615
Dr. Richard Justin Perrin, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 1 Barnes Jewish Hospital Plz, Div Pa Anatomic And Molecular Path, Saint Louis, MO 63110
Phone: 314-362-5641    Fax: 314-362-0369
Dr. Shouying Du, M.D
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 6420 Clayton Rd, Saint Louis, MO 63117
Phone: 314-344-7525    Fax: 314-344-7226
Virgilio P Dumadag, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 3015 N Ballas Rd, Department Of Pathology, Saint Louis, MO 63131
Phone: 314-996-4285    Fax: 314-996-5551
Alexander D Babich, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 6420 Clayton Rd, Saint Louis, MO 63117
Phone: 314-768-8202    Fax: 314-768-7145
Mary A. Rudloff, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 11133 Dunn Rd, Dept. Of Pathology, Saint Louis, MO 63136
Phone: 314-653-5630    Fax: 314-653-4099
Dr. Beverly Kraemer, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 660 Office Pkwy, Saint Louis, MO 63141
Phone: 314-991-8015    Fax: 314-991-0691

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