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Sarah Kathryn Bagley

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

10905 Providence Rd W, Ste 270, Charlotte, NC 28277-1538

PECOS Enrollment

This provider is enrolled in PECOS as SARAH BAGLEY.

Based on the most recent information from CMS, provider Sarah Kathryn Bagley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134583701
Provider Type
Individual
Full Name
Bagley, Sarah Kathryn
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
4/11/2016
Last Updated
8/7/2024

Contact Information

Practice Location

10905 Providence Rd W, Ste 270, Charlotte, NC 28277-1538

(704) 316-3410

(704) 316-3420

Mailing Location

PO Box 60447, Charlotte, NC 28260-0447

(704) 316-3410

(704) 316-3420

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-13260 North Carolina
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Sarah Kathryn Bagley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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