Mr Cameron Joseph Bailes, is a medicare enrolled "Social Worker - Clinical" provider in Wenona, Illinois. His current practice location is
1085 E 1075th Rd, Wenona, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 992-0888.
Mr Cameron Joseph Bailes is licensed to practice in Illinois (license number 149024292) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619622420.
Healthcare Provider's Profile
Full Name | Mr Cameron Joseph Bailes |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1085 E 1075th Rd, Wenona, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619622420
- Provider Enumeration Date: 02/21/2022
- Last Update Date: 02/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082056338
- Enrollment ID: I20240531001858
Medical Identifiers
Medical identifiers for Mr Cameron Joseph Bailes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619622420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149024292 (Illinois) | 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. Mr Cameron Joseph Bailes allows following entities to bill medicare on his behalf.
Entity Name | Premise Health Of Illinois Medical, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619 |
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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. Mr Cameron Joseph Bailes 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 Address | Practice Location Address |
Mr Cameron Joseph Bailes, 1085 E 1075th Rd, Wenona, IL 61377-9682 Ph: (815) 992-0888 | Mr Cameron Joseph Bailes, 1085 E 1075th Rd, Wenona, IL 61377-9682 Ph: (815) 992-0888 |
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