Mr Alan Gregory Bagshaw, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Mount Airy, North Carolina. His current practice location is
200 N Main St, Mount Airy, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 909-0192.
Mr Alan Gregory Bagshaw is licensed to practice in North Carolina (license number CO15083) 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 1538432737.
Healthcare Provider's Profile
Full Name | Mr Alan Gregory Bagshaw |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 200 N Main St, Mount Airy, North Carolina |
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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: 1538432737
- Provider Enumeration Date: 02/17/2012
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709231376
- Enrollment ID: I20231017002821
Medical Identifiers
Medical identifiers for Mr Alan Gregory Bagshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538432737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-24956 (North Carolina) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | P014395 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | CO15083 (North Carolina) | Primary |
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 Alan Gregory Bagshaw 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 Alan Gregory Bagshaw, LCSW, LCAS 1022 N Main St, Mount Airy, NC 27030-3636 Ph: (336) 909-0192 | Mr Alan Gregory Bagshaw, LCSW, LCAS 200 N Main St, Mount Airy, NC 27030-3810 Ph: (336) 909-0192 |
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