Patricia Marie Fagen, PT - Medicare Physical Therapist in Fruitland, ID

Patricia Marie Fagen, PT is a medicare enrolled "Physical Therapist" provider in Fruitland, Idaho. Her current practice location is 2175 N Whitley Dr, Fruitland, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 452-0303.

Patricia Marie Fagen is licensed to practice in Idaho (license number 1068) 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 1710584818.

Contact Information

Patricia Marie Fagen, PT
2175 N Whitley Dr,
Fruitland, ID 83619-2132
(208) 452-0303
Not Available



Healthcare Provider's Profile

Full NamePatricia Marie Fagen
GenderFemale
SpecialityPhysical Therapist
Location2175 N Whitley Dr, Fruitland, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710584818
  • Provider Enumeration Date: 10/02/2020
  • Last Update Date: 10/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0547680332
  • Enrollment ID: I20201016000252

Medical Identifiers

Medical identifiers for Patricia Marie Fagen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710584818NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 1068 (Idaho)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. Patricia Marie Fagen allows following entities to bill medicare on her behalf.
Provider NameCurrent Physical Therapy Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1518478734
PECOS PAC ID: 6507124823
Enrollment ID: O20171214001869

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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. Patricia Marie Fagen 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 AddressPractice Location Address
Patricia Marie Fagen, PT
7625 N Nevada Ave,
Fruitland, ID 83619-3559

Ph: (208) 739-0463
Patricia Marie Fagen, PT
2175 N Whitley Dr,
Fruitland, ID 83619-2132

Ph: (208) 452-0303

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Recent releases in Global Health

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Physical Therapist in Fruitland, ID

Therapy Connection
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1611 N Whitley Dr, Unit 1a, Fruitland, ID 83619
Phone: 208-452-0021    Fax: 208-452-0019
Sierra Marie Riley,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 910 Nw 16th St # 200, Fruitland, ID 83619
Phone: 208-452-8060    
Sol Physiotherapy Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 804 N Whitley Dr, Fruitland, ID 83619
Phone: 208-953-7057    
Good Life Physical Therapy Pllc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 804 N Whitley Dr, Fruitland, ID 83619
Phone: 208-740-3549    
Columbus Candies, PT MPA/HA PH.D.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1611 N Whitley Dr Ste 1a, Fruitland, ID 83619
Phone: 208-452-0021    Fax: 208-452-0019
Mckenzie Karl, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2175 N Whitley Dr, Fruitland, ID 83619
Phone: 208-452-7197    
Lynn R Johnson, PT; LAT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1611 N Whitley Dr Ste 1a, Fruitland, ID 83619
Phone: 208-452-0021    Fax: 208-452-0019

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