Bree Anders Bacalis, NP is a medicare enrolled "Nurse Practitioner" physician in Fort Collins, Colorado. Her current practice location is
1024 S Lemay Ave, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 495-7000.
Bree Anders Bacalis is licensed to practice in Colorado (license number APN.0993523-NP) 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 1659861359.
Physician's Profile
| Full Name | Bree Anders Bacalis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1024 S Lemay Ave, Fort Collins, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1659861359
- Provider Enumeration Date: 05/17/2018
- Last Update Date: 04/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 4789939935
- Enrollment ID: I20180612002450
Medical Identifiers
Medical identifiers for Bree Anders Bacalis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659861359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | APN.0993523-NP (Colorado) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 2017021320 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | APN.0993523-NP (Colorado) | 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. Bree Anders Bacalis allows following entities to bill medicare on her behalf.
| Entity Name | Lutheran Hospital Association Of The San Luis Valley |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318 |
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| Entity Name | Gunnison Valley Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932109048
PECOS PAC ID: 8426040486
Enrollment ID: O20040331000463 |
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| Entity Name | Emergency Physicians Of The Rockies, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174570717
PECOS PAC ID: 0345232492
Enrollment ID: O20040401001494 |
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| Entity Name | Columbine Management Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386989200
PECOS PAC ID: 7315020674
Enrollment ID: O20130502000442 |
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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. Bree Anders Bacalis 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 Address | Practice Location Address |
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Bree Anders Bacalis, NP
Po Box 912215,
Denver, CO 80291-2215
Ph: (303) 306-7783 | Bree Anders Bacalis, NP
1024 S Lemay Ave,
Fort Collins, CO 80524
Ph: (970) 495-7000 |
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