BAILEY BOGATITUS PA-C NPI 1124656103

NPI Information

Bailey Bogatitus, PA-C is a student in an organized health care education training program in Madison, WI with 3 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Bailey Bogatitus, PA-C NPI is 1124656103. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1211 FISH HATCHERY RD.
MADISON, WI
ZIP 53715-909
Phone: (608) 252-8000
Fax: (608) 288-6495

The NPI 1124656103 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2020 and was last updated on 2/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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