Bree Anders Bacalis, NP is a medicare enrolled "Nurse Practitioner" physician in Fort Collins, Colorado. Her current practice location is
1024 S Lemay Ave, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 495-7000.
Bree Anders Bacalis is licensed to practice in Colorado (license number APN.0993523-NP) 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 1659861359.
Physician's Profile
Full Name | Bree Anders Bacalis |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1024 S Lemay Ave, Fort Collins, Colorado |
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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: 1659861359
- Provider Enumeration Date: 05/17/2018
- Last Update Date: 04/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 4789939935
- Enrollment ID: I20180612002450
Medical Identifiers
Medical identifiers for Bree Anders Bacalis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659861359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | APN.0993523-NP (Colorado) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 2017021320 (Colorado) | Secondary |
363L00000X | Nurse Practitioner | APN.0993523-NP (Colorado) | 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. Bree Anders Bacalis allows following entities to bill medicare on her behalf.
Entity Name | Lutheran Hospital Association Of The San Luis Valley |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
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Entity Name | Park Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467581470 PECOS PAC ID: 4688583826 Enrollment ID: O20040311000804 |
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Entity Name | Gunnison Valley Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932109048 PECOS PAC ID: 8426040486 Enrollment ID: O20040331000463 |
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Entity Name | Emergency Physicians Of The Rockies, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174570717 PECOS PAC ID: 0345232492 Enrollment ID: O20040401001494 |
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Entity Name | Columbine Management Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386989200 PECOS PAC ID: 7315020674 Enrollment ID: O20130502000442 |
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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. Bree Anders Bacalis 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 |
Bree Anders Bacalis, NP Po Box 912215, Denver, CO 80291-2215 Ph: (303) 306-7783 | Bree Anders Bacalis, NP 1024 S Lemay Ave, Fort Collins, CO 80524 Ph: (970) 495-7000 |
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