Kaneisha D Bailey, LPC in Dallas, TX - Medicare Counselor Provider

Kaneisha D Bailey, LPC is a medicare enrolled "Counselor - Professional" provider in Dallas, Texas. Her current practice location is 4215 Gannon Ln, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 283-9090.

Kaneisha D Bailey is licensed to practice in Texas (license number 78931) 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 1104477579.

Contact Information

	Kaneisha D Bailey, LPC
	4215 Gannon Ln, Dallas, TX 75237-2914
	(972) 283-9090
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kaneisha D Bailey
Gender	Female
Speciality	Counselor - Professional
Location	4215 Gannon Ln, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104477579
Provider Enumeration Date: 09/26/2019
Last Update Date: 03/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7911440870
Enrollment ID: I20240619002021

Medical Identifiers

Medical identifiers for Kaneisha D Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104477579	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	78931 (Texas)	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. Kaneisha D Bailey allows following entities to bill medicare on her behalf.

Entity Name	Southern Area Behavioral Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396973772 PECOS PAC ID: 1658699434 Enrollment ID: O20150407000552

Entity Name	North Texas Behavioral Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457720120 PECOS PAC ID: 2769804350 Enrollment ID: O20200629001278

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138

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. Kaneisha D Bailey 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
Kaneisha D Bailey, LPC 3702 Palomino Dr, Arlington, TX 76017-1516 Ph: (682) 269-8069	Kaneisha D Bailey, LPC 4215 Gannon Ln, Dallas, TX 75237-2914 Ph: (972) 283-9090

Reviews and Comments

Counselor in Dallas, TX

Keisha L. Butler, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Central Expy, Suite 400-8, Dallas, TX 75201 Phone: 214-298-7647 Fax: 469-227-4251
Mrs. Ashley Nicole Dye, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4600 Samuell Blvd, Dallas, TX 75228 Phone: 214-381-7181
Ms. Ana Cecilia Gutierrez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6220 Gaston Ave, Suite 501, Dallas, TX 75214 Phone: 972-904-7935 Fax: 972-838-1446
Dr. Cathey Soutter, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17300 Preston Rd, Dallas, TX 75252 Phone: 972-733-6565
Antonio Gonzales, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8625 King George Dr, Suite 111, Dallas, TX 75235 Phone: 214-631-7002 Fax: 214-631-6698
William Keith Palmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5701 Maple Ave, Ste. 100, Dallas, TX 75235 Phone: 214-351-6600 Fax: 214-351-5046
Karina Shroff, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8625 King George Dr, Suite 111, Dallas, TX 75235 Phone: 214-631-7002 Fax: 214-631-6698

Kaneisha D Bailey, LPC - Medicare Counselor in Dallas, TX