MS. Stacy Louise Fagan, PA
MS. Stacy Louise Fagan, PA is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2008, 18 years ago. Practices with Mercy Hospital Logan County, Inc, a 25-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 18
- Licensed in
- OK
- In the registry since
- 2008
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2512 N Meridian AveOklahoma City, OK 73107-1035
Phone: (405) 605-5415
Fax: (405) 605-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 1779 (OK) |
|---|
Record details
| NPI number | 1841444098 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | November 13, 2008 |
| Last updated in NPPES | February 9, 2011 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Mercy Hospital Logan County, Inc — 25 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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