| Provider / Organization | NPI | Date Certified |
|---|---|---|
| FREDERICK BAGARES | 1588942155 | 2024-01-07 |
Frederick Bagares [M] graduated in 2007 and primarily specializes in Physical Medicine And Rehabilitation.
Frederick Bagares is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588942155. Registration indicates Frederick Bagares is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation (Physical Medicine & Rehabilitation, ) (Specialist Network, ) (Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation) (Physical Medicine & Rehabilitation: Sports Medicine, ) (Specialist Network, ) (Physical Medicine & Rehabilitation Sports Medicine, Allopathic & Osteopathic Physicians) (Physical Medicine & Rehabilitation, )
| PECOS ID | 2062682354 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Frederick Bagares D.O. |
| Practice Office Address | 1232 PERIMETER PKWY STE 205 VIRGINIA BEACH, VA US |
| Practice Office Telephone | 7578283080 |
| Practice Office Fax | 7578283083 |
| Mailing Address | 2085 LYNNHAVEN PKWY STE 106 VIRGINIA BCH, VA 234561497 US |
| Business Telephone | 7578283080 |
| Business Fax | 7578283083 |
| NEXTGEN [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 208100000X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Specialist Network Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians | 0102204441
VA |
| 2081S0010X PRIMARY | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation: Sports Medicine Specialist Network Physical Medicine & Rehabilitation Sports Medicine Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | 0102204441
VA |
| 1588942155 | OTHER | VA | AETNA |
| 1588942155 | OTHER | VA | ANTHEM BC/BS |
| 1588942155 | OTHER | VA | USA MANAGED CAR |
| 1588942155 | OTHER | VA | TRICARE/CHAMPUS |
| 1588942155 | OTHER | VA | MULTIPLAN |
| 1588942155 | OTHER | VA | CIGNA |
| 1588942155 | MEDICAID | NC | |
| 1588942155 | OTHER | VA | COVENTRY |
| 1588942155 | OTHER | VA | UNITED HEALTHCA |
| 1588942155 | OTHER | VA | OPTIMA HEALTH |
| 1588942155 | OTHER | VA | VIRGINIA HEALTH |
| 1588942155 | OTHER | VA | VIRGINIA PREMIE |
| 1588942155 | MEDICAID | VA | |
| 1588942155 | OTHER | VA | CORVEL |