Calle A Gonzales-bagdon, MD in Moses Lake, WA

Calle A Gonzales-bagdon, MD is a medicare enrolled "Pediatrics" physician in Moses Lake, Washington. Her current practice location is 801 E Wheeler Rd, Moses Lake, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 765-5606.

Calle A Gonzales-bagdon is licensed to practice in Washington (license number MD61092894) 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 1447360359.

Contact Information

	Calle A Gonzales-bagdon, MD
	801 E Wheeler Rd, Moses Lake, WA 98837-1820
	(509) 765-5606
	Not Available

Map and Direction

Physician's Profile

Full Name	Calle A Gonzales-bagdon
Gender	Female
Speciality	Pediatrics
Location	801 E Wheeler Rd, Moses Lake, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447360359
Provider Enumeration Date: 08/30/2006
Last Update Date: 11/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5991987919
Enrollment ID: I20110314000194

Medical Identifiers

Medical identifiers for Calle A Gonzales-bagdon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447360359	NPI	-	NPPES
2168392	Medicaid	WA
MD34321	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MED-PHYS-LIC-103519 (Montana)	Secondary
208000000X	Pediatrics	G-71741 (California)	Secondary
208000000X	Pediatrics	16068 (New Hampshire)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	16068 (New Hampshire)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	16068 (New Hampshire)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	MD11372 (Hawaii)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	MD61092894 (Washington)	Secondary
208000000X	Pediatrics	MD61092894 (Washington)	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. Calle A Gonzales-bagdon allows following entities to bill medicare on her behalf.

Entity Name	Hawaii Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625

Entity Name	Kapiolani Medical Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124071014 PECOS PAC ID: 0648183988 Enrollment ID: O20031111000895

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. Calle A Gonzales-bagdon 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
Calle A Gonzales-bagdon, MD 660 S Coolidge St, Moses Lake, WA 98837-1872 Ph: (509) 793-9715	Calle A Gonzales-bagdon, MD 801 E Wheeler Rd, Moses Lake, WA 98837-1820 Ph: (509) 765-5606

Reviews and Comments

Pediatrics Doctors in Moses Lake, WA

Miss Carissa Lynn Armstrong, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711
Dr. Kriti Narwal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837 Phone: 509-793-9787 Fax: 509-764-3263
Karl Christopher Kubo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 615 S Division St, Moses Lake, WA 98837 Phone: 509-766-9450 Fax: 509-766-1954
Karen M Lindberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-663-8711
Marta A Beaubien, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 840 E Hill Ave, Moses Lake, WA 98837 Phone: 509-765-0216
Jill A Dudik Bross, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 615 S Division St, Moses Lake, WA 98837 Phone: 509-766-9450 Fax: 509-766-1954
Sara Akhtar Ali, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1550 S Pioneer Way Ste 200, Moses Lake, WA 98837 Phone: 509-793-9787 Fax: 509-764-3263

Calle A Gonzales-bagdon, MD - Medicare Pediatrics in Moses Lake, WA