Dr Brendon D Bagley, MD 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 Name	Dr Brendon D Bagley
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1669761862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A143217 (California)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	A143217 (California)	Primary
208D00000X	General Practice	275244 (New York)	Secondary
390200000X	Student 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 Name	Signify Health Medical Associates Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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 Su, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181
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
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
Dr. Ely A Wolin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-426-7597
Dr. David Dean Gover, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgqx, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-7182

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