Farhana Bagum, CRNP in Willow Street, PA - Medicare Nurse Practitioner

Farhana Bagum, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Willow Street, Pennsylvania. Her current practice location is 2605 Willow Street Pike N, Willow Street, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 464-2838.

Farhana Bagum is licensed to practice in Pennsylvania (license number SP031338) 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 1770307761.

Contact Information

	Farhana Bagum, CRNP
	2605 Willow Street Pike N, Willow Street, PA 17584-9510
	(717) 464-2838
	Not Available

Map and Direction

Provider's Profile

Full Name	Farhana Bagum
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2605 Willow Street Pike N, Willow Street, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770307761
Provider Enumeration Date: 11/14/2024
Last Update Date: 03/25/2025

Medicare PECOS Information:

PECOS PAC ID: 7719413921
Enrollment ID: I20241211003609

Medical Identifiers

Medical identifiers for Farhana Bagum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770307761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	SP031338 (Pennsylvania)	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. Farhana Bagum allows following entities to bill medicare on her behalf.

Entity Name	Penn State Health Community Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279

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. Farhana Bagum 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
Farhana Bagum, CRNP 2605 Willow Street Pike N, Willow Street, PA 17584-9510 Ph: (717) 464-2838	Farhana Bagum, CRNP 2605 Willow Street Pike N, Willow Street, PA 17584-9510 Ph: (717) 464-2838

Reviews and Comments

Nurse Practitioner Nurses in Willow Street, PA

Victoria Lynne Weaver, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2850 Willow Street Pike N Ste A, Willow Street, PA 17584 Phone: 717-464-9430 Fax: 717-464-1680
Jennifer L Grim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2605 Willow Street Pike N, Willow Street, PA 17584 Phone: 717-464-2838 Fax: 717-464-3812
Rebecca L Poole, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 750 Willow Valley Lakes Dr, Willow Street, PA 17584 Phone: 717-464-6200
Mrs. Jennifer Lynn Irons, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 Willow Valley Lakes Dr Ste 1900, Willow Street, PA 17584 Phone: 717-517-5350 Fax: 717-517-5351

Farhana Bagum, CRNP - Medicare Nurse Practitioner in Willow Street, PA