Ernest Anthony Bagner Iii, is a
General Practice physician based in Hollywood, California. Ernest Anthony Bagner Iii is licensed to practice in California (license number A69614) and his current practice location is 6051 Hollywood Blvd, Suite 107, Hollywood, California. He can be reached at his office (for appointments etc.) via phone at
(323) 461-7575.
NPI number for Ernest Anthony Bagner Iii is 1194970061 and his current mailing address is 6051 Hollywood Blvd, Suite 107, Hollywood, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194970061.
Physician's Profile
Full Name | Ernest Anthony Bagner Iii |
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Gender | Male |
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Speciality | General Practice |
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Location | 6051 Hollywood Blvd, Hollywood, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194970061
- Provider Enumeration Date: 11/19/2008
- Last Update Date: 06/08/2010
Medical Identifiers
Medical identifiers for Ernest Anthony Bagner Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194970061 | NPI | - | NPPES |
A69614 | Other | CA | LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A69614 (California) | Secondary |
208D00000X | General Practice | A69614 (California) | 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. Ernest Anthony Bagner Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ernest Anthony Bagner Iii, 6051 Hollywood Blvd, Suite 107, Hollywood, CA 90028-5485 Ph: (323) 461-7575 | Ernest Anthony Bagner Iii, 6051 Hollywood Blvd, Suite 107, Hollywood, CA 90028 Ph: (323) 461-7575 |
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