Whitney D Bagby, PMHNP in San Francisco, CA - Medicare Nurse Practitioner

Whitney D Bagby, PMHNP is a medicare enrolled "Nurse Practitioner" in San Francisco, California. His current practice location is 245 11th St, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 355-0311.

Whitney D Bagby is licensed to practice in California (license number 95021750) 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 1669989752.

Contact Information

	Whitney D Bagby, PMHNP
	245 11th St, San Francisco, CA 94103-3732
	(415) 355-0311
	Not Available

Map and Direction

Provider's Profile

Full Name	Whitney D Bagby
Gender	Male
Speciality	Nurse Practitioner
Location	245 11th St, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669989752
Provider Enumeration Date: 01/10/2018
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5092178749
Enrollment ID: I20230828003270

Medical Identifiers

Medical identifiers for Whitney D Bagby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669989752	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95228740 (California)	Secondary
172V00000X	Community Health Worker	(* (Not Available))	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95021750 (California)	Secondary
363L00000X	Nurse Practitioner	95021750 (California)	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. Whitney D Bagby allows following entities to bill medicare on his behalf.

Entity Name	Westside Community Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437215233 PECOS PAC ID: 9436204427 Enrollment ID: O20090826000770

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. Whitney D Bagby 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
Whitney D Bagby, PMHNP 245 11th St, San Francisco, CA 94103-3732 Ph: (415) 355-0311	Whitney D Bagby, PMHNP 245 11th St, San Francisco, CA 94103-3732 Ph: (415) 355-0311

Reviews and Comments

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Whitney D Bagby, PMHNP - Medicare Nurse Practitioner in San Francisco, CA