Erin Elizabeth Fancher Gagen (NPI# 1184657090, PAC ID# 7810923794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184657090 |
| PAC ID by PECOS | 7810923794 |
| Professional Enrollment ID | I20050712000773 |
| Full Name | Erin Elizabeth Fancher Gagen |
| Address |
411 E Broadway Trenton IL 62293-1663 |
| Phone Number | 6182247000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140145 | ST JOSEPHS HOSPITAL |
| 141336 | ST JOSEPH'S HOSPITAL |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 140185 | MEMORIAL HOSPITAL |
| 140307 | METRO-EAST SERVICES INC |
| Address | Phone | Organization |
|---|---|---|
| 411 E Broadway, Trenton, IL 62293-1663 | 6182247000 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
411 E BROADWAY |
| City | TRENTON |
| State | IL |
| Zip | 62293-1663 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard J Rother | Physical Therapy | Rick Rother, P.t., P.C. | 411 E Broadway, Columbia, MO 65201-4437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curt A Wesselman | Chiropractic | Trenton Chiropractic Clinic Ltd | 206 W Broadway, Trenton, IL 62293-1110 |
| Carri Ann Haertling | Physical Therapy | Trenton Chiropractic Clinic Ltd | 206 W Broadway, Trenton, IL 62293-1110 |
| City | TRENTON |
| Zip Code | 62293 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TRENTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Erin Elizabeth Fancher Gagen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.