Look up the most recent NPI and PECOS records

Michele L Bagley

Family Medicine

Allopathic & Osteopathic Physicians

2222 Winchester Ave, Ashland, KY 41101-7847

PECOS Enrollment

Based on the most recent information from CMS, provider Michele L Bagley does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1346211653
Provider Type
Individual
Full Name
Bagley, Michele L
Credential
D.O.

Gender
Female
Sole Proprietor
No
Enumeration Date
1/27/2006
Last Updated
8/20/2009

Contact Information

Practice Location

2222 Winchester Ave, Ashland, KY 41101-7847

(606) 325-9644

(606) 329-1207

Mailing Location

2222 Winchester Ave, Ashland, KY 41101-7847

(606) 325-9644

(606) 329-1207

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 02284 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 000000045746	Description Other	Issuer BLUE CROSS AND BLUE SHIELD
ID 000000583693	Description Other	Issuer BLUE CROSS AND BLUE SHIELD

Michele L Bagley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Ashalnd Hospital Corporation

Eric F. Smith, Do Psc

Darnell, John Howard

Murphy, Kristen Nicole

Ashland Hospital Corporation

Bellefonte Physician Services, Inc.

Bellefonte Physician Services, Inc.

Michael E. Brock, D.O., P.S.C.

Ashland Hospital Corporation

Murphy, Logan W