Leah Michelle Bagley, NP-C - Medicare Nurse Practitioner in Shaw Afb, SC

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Leah Michelle Bagley, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Shaw Afb, South Carolina. Her current practice location is 420 Polifka Dr, Shaw Afb, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 895-6191.

Leah Michelle Bagley is licensed to practice in South Carolina (license number 24751) 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 1962030809.

Contact Information

Leah Michelle Bagley, NP-C
420 Polifka Dr,
Shaw Afb, SC 29152-5100
(803) 895-6191
Not Available

Map and Direction




Provider's Profile

Full NameLeah Michelle Bagley
GenderFemale
SpecialityNurse Practitioner - Family
Location420 Polifka Dr, Shaw Afb, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962030809
  • Provider Enumeration Date: 03/27/2020
  • Last Update Date: 11/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466874706
  • Enrollment ID: I20210519002376

Medical Identifiers

Medical identifiers for Leah Michelle Bagley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962030809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN262574 (Georgia)Secondary
363LF0000XNurse Practitioner - Family 24751 (South Carolina)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. Leah Michelle Bagley allows following entities to bill medicare on her behalf.
Entity NamePalmetto Primary Care Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073234928
PECOS PAC ID: 4880508068
Enrollment ID: O20031113000287
Entity NameThree Rivers Medical Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760445597
PECOS PAC ID: 1557267663
Enrollment ID: O20031210000142

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. Leah Michelle 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
Leah Michelle Bagley, NP-C
420 Polifka Dr,
Shaw Afb, SC 29152-5100

Ph: (803) 895-6191		Leah Michelle Bagley, NP-C
420 Polifka Dr,
Shaw Afb, SC 29152-5100

Ph: (803) 895-6191

Reviews and Comments


Nurse Practitioner Nurses in Shaw Afb, SC

Mrs. Mallory Smith, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152
Phone: 803-895-2273    
Ms. Lauren Carol Allain, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 431 Meadowlark St., 20th Mdg/sghc, Shaw Afb, SC 29152
Phone: 803-895-6356    Fax: 803-895-6456
Jacqueline Mintz, ARNP-FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 524 Nelson Ave, Shaw Afb, SC 29152
Phone: 706-495-6612    
Lorraine Rivero, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152
Phone: 843-895-6449    
Dr. Leslie Marie Filler, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152
Phone: 803-895-6425    
Diane Susan White, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152
Phone: 803-895-6356    
Kimberly Marie Shanks, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 431 Meadowlark Rd, Shaw Afb, SC 29152
Phone: 803-895-6592    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.