Bailey Ross, is a medicare enrolled "Psychologist - Clinical" provider in Alpena, Michigan. Her current practice location is
400 Johnson St, Alpena, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 356-2161.
Bailey Ross is licensed to practice in Michigan (license number 6301017008) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740640440.
Healthcare Provider's Profile
| Full Name | Bailey Ross |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 400 Johnson St, Alpena, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740640440
- Provider Enumeration Date: 02/24/2016
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 0143629667
- Enrollment ID: I20210712001979
Medical Identifiers
Medical identifiers for Bailey Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740640440 | NPI | - | NPPES |
| 351866298 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 6301017008 (Michigan) | 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. Bailey Ross allows following entities to bill medicare on her behalf.
| Entity Name | Saginaw Psychological Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821163882
PECOS PAC ID: 8426961467
Enrollment ID: O20040216000823 |
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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. Bailey Ross 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 |
|---|
Bailey Ross,
400 Johnson St,
Alpena, MI 49707-1434
Ph: () - | Bailey Ross,
400 Johnson St,
Alpena, MI 49707-1434
Ph: (989) 356-2161 |
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