Dr Thomas Bailey, MD | |
175 Philpott Ln, Beaver, WV 25813-9501 | |
(304) 254-9262 | |
Not Available |
Full Name | Dr Thomas Bailey |
---|---|
Gender | Male |
Speciality | Internal Medicine - Addiction Medicine |
Location | 175 Philpott Ln, Beaver, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659359396 | NPI | - | NPPES |
001718055 | Other | WV | WV BCBS |
1053229 | Other | WV | WV DWC |
17538 | Other | WV | LICENSE |
1801525000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RA0401X | Internal Medicine - Addiction Medicine | 17538 (West Virginia) | Primary |
Entity Name | Beckley Treatment Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043229594 PECOS PAC ID: 6901231307 Enrollment ID: O20230210000474 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Bailey, MD 175 Philpott Ln, Beaver, WV 25813-9501 Ph: (304) 254-9262 | Dr Thomas Bailey, MD 175 Philpott Ln, Beaver, WV 25813-9501 Ph: (304) 254-9262 |
Mary E Mckelvey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1196 Airport Rd, Beaver, WV 25813 Phone: 304-253-5155 Fax: 304-252-3471 | |
Bella N Zinzuwadia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 703 Ritter Drive, Beaver, WV 25813 Phone: 304-255-1300 Fax: 304-255-5391 |