Jacob Walter Bailey, is a medicare enrolled "Physician Assistant" physician in Omaha, Nebraska. His current practice location is
2808 N 75th St Ste H, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 932-2248.
Jacob Walter Bailey is licensed to practice in Nebraska (license number 2827) 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 1659012508.
Physician's Profile
| Full Name | Jacob Walter Bailey |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 2808 N 75th St Ste H, Omaha, Nebraska |
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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: 1659012508
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608245568
- Enrollment ID: I20221215001677
Medical Identifiers
Medical identifiers for Jacob Walter Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659012508 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | NA (Alabama) | Secondary |
| 363A00000X | Physician Assistant | 2827 (Nebraska) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2827 (Nebraska) | Secondary |
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. Jacob Walter 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 |
|---|
Jacob Walter Bailey,
Po Box 208004,
New Haven, CT 06520-8004
Ph: (203) 737-2284 | Jacob Walter Bailey,
2808 N 75th St Ste H,
Omaha, NE 68134-6861
Ph: (402) 932-2248 |
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