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Anna Fahy Hagan

Hospitalist

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as ANNA HAGAN.

Based on the most recent information from CMS, provider Anna Fahy Hagan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:59 AM.

Profile Details

Provider ID
1841532033
Provider Type
Individual
Full Name
Hagan, Anna Fahy
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
3/26/2013
Last Updated
3/8/2019

Contact Information

Practice Location

325 9th Ave, Seattle, WA 98104-2420

(206) 520-5000

Unlisted Fax

Mailing Location

1660 S Columbian Way, General Internal Medicine Clinic, Seattle, WA 98108-1532

(206) 277-4198

(206) 764-2936

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License MD60574245 Washington
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD60574245 Washington

Provider Identifiers

ID	Description	Issuer
ID 1841532033	Description Medicaid	Issuer Unlisted Washington

Anna Fahy Hagan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Ahmed, Shiraz S.

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