Mr Jake Wood Putnam Bagley, DPT in San Francisco, CA - Medicare Physical Therapist Provider

Mr Jake Wood Putnam Bagley, DPT is a medicare enrolled "Physical Therapist" provider in San Francisco, California. His current practice location is 303 2nd St Ste 115c, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 498-0537.

Mr Jake Wood Putnam Bagley is licensed to practice in California (license number 292658) 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 1174914147.

Contact Information

	Mr Jake Wood Putnam Bagley, DPT
	303 2nd St Ste 115c, San Francisco, CA 94107
	(415) 498-0537
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jake Wood Putnam Bagley
Gender	Male
Speciality	Physical Therapist
Location	303 2nd St Ste 115c, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174914147
Provider Enumeration Date: 02/12/2015
Last Update Date: 12/10/2020

Medicare PECOS Information:

PECOS PAC ID: 8921430018
Enrollment ID: I20241031000304

Medical Identifiers

Medical identifiers for Mr Jake Wood Putnam Bagley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174914147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	0012518 (Colorado)	Secondary
225100000X	Physical Therapist	292658 (California)	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. Mr Jake Wood Putnam Bagley allows following entities to bill medicare on his behalf.

Provider Name	Motion Medical Group, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083339147 PECOS PAC ID: 9234500158 Enrollment ID: O20230922002976

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. Mr Jake Wood Putnam 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
Mr Jake Wood Putnam Bagley, DPT 2556 47th Avenue, San Francisco, CA 94121-3206 Ph: (415) 498-0537	Mr Jake Wood Putnam Bagley, DPT 303 2nd St Ste 115c, San Francisco, CA 94107 Ph: (415) 498-0537

Reviews and Comments

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Mr Jake Wood Putnam Bagley, DPT - Medicare Physical Therapist in San Francisco, CA