Dr Brendon D Bagley, MD - Medicare Radiology in Travis Afb, CA

Dr Brendon D Bagley, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (718) 283-6000.

Dr Brendon D Bagley is licensed to practice in California (license number A143217) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669761862.

Contact Information

Dr Brendon D Bagley, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809
(718) 283-6000
Not Available

Map and Direction




Physician's Profile

Full NameDr Brendon D Bagley
GenderMale
SpecialityRadiology - Vascular & Interventional Radiology
Location101 Bodin Cir, Travis Afb, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669761862
  • Provider Enumeration Date: 03/29/2011
  • Last Update Date: 09/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7416225743
  • Enrollment ID: I20200922002355

Medical Identifiers

Medical identifiers for Dr Brendon D Bagley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669761862NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A143217 (California)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology A143217 (California)Primary
208D00000XGeneral Practice 275244 (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Dr Brendon D Bagley allows following entities to bill medicare on his behalf.
Entity NameSignify Health Medical Associates Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124685169
PECOS PAC ID: 8325370570
Enrollment ID: O20191022000320

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. Dr Brendon D Bagley 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
Dr Brendon D Bagley, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: () -
Dr Brendon D Bagley, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: (718) 283-6000

Reviews and Comments


Radiology Doctors in Travis Afb, CA

Dr. Teddy Jinnteh Su, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535
Phone: 707-423-7181    
Dr. Zoltan A. Varro, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7182    
James Odone,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7182    
Dr. Theodore Joseph Jerdee, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535
Phone: 707-423-7182    
Dr. Lance Dustin Edmonds, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Mdts/sgqx, Travis Afb, CA 94535
Phone: 707-423-7182    
Winnifred Wong, DO
Radiology
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7691    
Dr. Marvin Glass Jr., PHD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-5119    

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