Erin Leigh Etheridge-bagley, CNM is a medicare enrolled "Advanced Practice Midwife" in Palm Beach Gardens, Florida. Her current practice location is
3400 Burns Rd Ste 200, Palm Beach Gardens, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 425-9096.
Erin Leigh Etheridge-bagley is licensed to practice in Florida (license number CNM2515) 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 1417340530.
Provider's Profile
Full Name | Erin Leigh Etheridge-bagley |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 3400 Burns Rd Ste 200, Palm Beach Gardens, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417340530
- Provider Enumeration Date: 03/13/2015
- Last Update Date: 07/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 8426488008
- Enrollment ID: I20200422001999
Medical Identifiers
Medical identifiers for Erin Leigh Etheridge-bagley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417340530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | CNM2515 (Florida) | 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. Erin Leigh Etheridge-bagley allows following entities to bill medicare on her behalf.
Entity Name | Vitalmd Group Holding Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
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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. Erin Leigh Etheridge-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 |
Erin Leigh Etheridge-bagley, CNM 12291 76th Rd N, West Palm Beach, FL 33412-2277 Ph: () - | Erin Leigh Etheridge-bagley, CNM 3400 Burns Rd Ste 200, Palm Beach Gardens, FL 33410-4347 Ph: (561) 425-9096 |
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