Mr Russell Teal Bailiff, LCSW is a
Social Worker - Clinical based in Lindale, Texas. Mr Russell Teal Bailiff is licensed to practice in Texas (license number 29264) and his current practice location is
716 Linus Ln, Lindale, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 312-7246.
NPI number for Mr Russell Teal Bailiff is 1831267699 and his current mailing address is Po Box 726, Lindale, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831267699.
Healthcare Provider's Profile
| Full Name | Mr Russell Teal Bailiff |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 716 Linus Ln, Lindale, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831267699
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 05/25/2016
Medical Identifiers
Medical identifiers for Mr Russell Teal Bailiff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831267699 | NPI | - | NPPES |
| 0638405-04 | Medicaid | TX | |
| 0638405-01 | Medicaid | TX | |
| 0013EX | Other | TX | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 29264 (Texas) | Primary |
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 Russell Teal Bailiff is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Russell Teal Bailiff, LCSW
Po Box 726,
Lindale, TX 75771-0726
Ph: (903) 312-7246 | Mr Russell Teal Bailiff, LCSW
716 Linus Ln,
Lindale, TX 75771-6626
Ph: (903) 312-7246 |
Reviews and Comments