Calle A Gonzales-bagdon, MD - Medicare Pediatrics 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



Physician's Profile

Full NameCalle A Gonzales-bagdon
GenderFemale
SpecialityPediatrics
Location801 E Wheeler Rd, Moses Lake, Washington
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1447360359NPI-NPPES
2168392MedicaidWA
MD34321MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MED-PHYS-LIC-103519 (Montana)Secondary
208000000XPediatrics G-71741 (California)Secondary
208000000XPediatrics 16068 (New Hampshire)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 16068 (New Hampshire)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 16068 (New Hampshire)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine MD11372 (Hawaii)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine MD61092894 (Washington)Secondary
208000000XPediatrics 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 NameHawaii Permanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710945969
PECOS PAC ID: 7618880667
Enrollment ID: O20031106000625

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Entity NameKapiolani Medical Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124071014
PECOS PAC ID: 0648183988
Enrollment ID: O20031111000895

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› Verified 6 days ago

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 AddressPractice 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

News Archive

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› Verified 6 days ago


Pediatrics Doctors in Moses Lake, WA

Carolanne Lyons,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 840 E Hill Ave, Moses Lake, WA 98837
Phone: 509-663-8711    
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

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