Dr Charles A Bagwell, MD - Medicare General Surgery in Douglas, GA

  1. Home
  2. Surgery
  3. GA
  4. Douglas
Dr Charles A Bagwell, MD is a medicare enrolled "Surgery" physician in Douglas, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Coffee Emergency Group Llc and his current practice location is 100 Doctors Dr Ste C, Douglas, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 384-5832.

Dr Charles A Bagwell is licensed to practice in Georgia (license number 050494) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366417479.

Contact Information

Dr Charles A Bagwell, MD
100 Doctors Dr Ste C,
Douglas, GA 31533-2211
(912) 384-5832
(912) 383-8279

Map and Direction




Physician's Profile

Full NameDr Charles A Bagwell
GenderMale
SpecialityGeneral Surgery
Experience23 Years
Location100 Doctors Dr Ste C, Douglas, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Charles A Bagwell attended and graduated from Medical College Of Georgia School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1366417479
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466531629
  • Enrollment ID: I20080430000170

Medical Identifiers

Medical identifiers for Dr Charles A Bagwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366417479NPI-NPPES
11D1105865OtherGACLIA ID - 17 JOHNSON ST
341153OtherGAWELLCARE OF GEORGIA
000919729BMedicaidGA
000919729CMedicaidGA
050494OtherGAGA LICENSE
050494OtherGAMEDICAL LICENSE
11D0265294OtherGACLIA ID - 1309 OCILLA RD STE A
PTAN P00473716OtherGARAILROAD MEDICARE - PALMETTO GBA
129049OtherGAPEACHSTATE
GROUP #DH1281OtherGARAILROAD MEDICARE - PALMETTO GBA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 050494 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Coffee Regional Medical Center, IncDouglas, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coffee Emergency Group Llc48808340508

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. Dr Charles A Bagwell allows following entities to bill medicare on his behalf.
Entity NameCoffee Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437120946
PECOS PAC ID: 4587656012
Enrollment ID: O20040402000287
Entity NameEmergency Physicians Of Coffee County, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336431030
PECOS PAC ID: 1557549961
Enrollment ID: O20110706000343
Entity NameCoffee Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023353489
PECOS PAC ID: 4880834050
Enrollment ID: O20130711000400

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. Dr Charles A Bagwell 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
Dr Charles A Bagwell, MD
1100 Ward Street Ext W,
Douglas, GA 31533-1902

Ph: (912) 384-1477		Dr Charles A Bagwell, MD
100 Doctors Dr Ste C,
Douglas, GA 31533-2211

Ph: (912) 384-5832

Reviews and Comments


Surgery Doctors in Douglas, GA

Dr. Chester Theo Royals Jr., M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 100 Doctors Dr Ste C, Douglas, GA 31533
Phone: 912-384-5832    Fax: 912-383-8279
Dr. Romulo P Navarro, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 100 Doctors Dr Ste C, Douglas, GA 31533
Phone: 912-384-5832    Fax: 912-383-8279
Timothy A Humphries, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 100 Doctors Dr Ste C, Douglas, GA 31533
Phone: 912-384-5832    Fax: 912-383-8279
Concordio F Ursal, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 2106 Ocilla Rd, Douglas, GA 31533
Phone: 912-384-4010    Fax: 912-383-6365

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.