Mary J Bailey, MD | |
97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560-9815 | |
(304) 757-6999 | |
(304) 201-5019 |
Full Name | Mary J Bailey |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 97 Great Teays Blvd, Scott Depot, 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 |
---|---|---|---|
1295953065 | NPI | - | NPPES |
22597 | Other | WV | LICENSE |
7100017680 | Medicaid | KY | |
2748389 | Medicaid | OH | |
3810009259 | Medicaid | WV | |
TP232 | Other | KY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 41101 (Kentucky) | Secondary |
208000000X | Pediatrics | TP232 (Kentucky) | Secondary |
208000000X | Pediatrics | 22597 (West Virginia) | Primary |
Entity Name | Womencare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194759290 PECOS PAC ID: 4587568134 Enrollment ID: O20031125000177 |
Entity Name | Womencare Inc |
---|---|
Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1740450089 PECOS PAC ID: 4587568134 Enrollment ID: O20080807000128 |
Entity Name | Womencare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447618327 PECOS PAC ID: 4587568134 Enrollment ID: O20160913002016 |
Entity Name | Womencare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578073706 PECOS PAC ID: 4587568134 Enrollment ID: O20180312001821 |
Entity Name | Womencare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790276525 PECOS PAC ID: 4587568134 Enrollment ID: O20181102002547 |
Entity Name | Womencare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396237434 PECOS PAC ID: 4587568134 Enrollment ID: O20190517001924 |
Entity Name | Womencare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770745036 PECOS PAC ID: 4587568134 Enrollment ID: O20190806002319 |
Entity Name | Womencare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174106124 PECOS PAC ID: 4587568134 Enrollment ID: O20211028001145 |
Entity Name | Womencare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962045948 PECOS PAC ID: 4587568134 Enrollment ID: O20220526002680 |
Mailing Address | Practice Location Address |
---|---|
Mary J Bailey, MD 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560-9815 Ph: (304) 757-6999 | Mary J Bailey, MD 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560-9815 Ph: (304) 757-6999 |
Abdullah Shabarek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-6800 | |
Dr. Susanna A. Kapourales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560 Phone: 304-691-8870 Fax: 304-691-6751 | |
Ms. Ann M. Lambernedis, M.D, Pediatrics Medicare: Medicare Enrolled Practice Location: 111 Great Teays Blvd Ste 101, Scott Depot, WV 25560 Phone: 304-757-8803 Fax: 304-757-8803 | |
Denise Nicole Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 Great Teays Blvd, Scott Depot, WV 25560 Phone: 304-757-8803 Fax: 304-757-6904 | |
Dr. Beth Bloom Emrick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Corporate Center Dr., Scott Depot, WV 25560 Phone: 304-691-8901 Fax: 304-691-1679 | |
Angela Beth Ferguson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301-6 Great Teays Blvd, Scott Depot, WV 25560 Phone: 304-757-6999 Fax: 304-757-3252 |