Mr David Keith Bailly, DO in Boston, MA

Mr David Keith Bailly, DO is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Boston, Massachusetts. His current practice location is 300 Longwood Ave # Bader634, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 955-7327.

Mr David Keith Bailly is licensed to practice in Utah (license number 8598708-1204) 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 1851505069.

Contact Information

	Mr David Keith Bailly, DO
	300 Longwood Ave # Bader634, Boston, MA 02115-5724
	(617) 955-7327
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr David Keith Bailly
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	300 Longwood Ave # Bader634, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851505069
Provider Enumeration Date: 05/09/2007
Last Update Date: 12/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8820222375
Enrollment ID: I20131016000859

Medical Identifiers

Medical identifiers for Mr David Keith Bailly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851505069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	8598708-1204 (Utah)	Primary
208000000X	Pediatrics	AC1220007 (Massachusetts)	Secondary
208M00000X	Hospitalist	8598708-1204 (Utah)	Secondary

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. Mr David Keith Bailly allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	University Of Utah Pediatric Acuity Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869

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. Mr David Keith Bailly 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
Mr David Keith Bailly, DO 20 Webster St Apt 201, Brookline, MA 02446-4963 Ph: (617) 271-1990	Mr David Keith Bailly, DO 300 Longwood Ave # Bader634, Boston, MA 02115-5724 Ph: (617) 955-7327

Reviews and Comments

Pediatrics Doctors in Boston, MA

Puja Banka, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Bader 203, Boston, MA 02115 Phone: 617-355-6363
Angela M. Jacques, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-2066
Dr. Elizabeth S Taglauer, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Cailyn Hereen Rood, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Dr. Alon Peltz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Miki Nishitani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000
Vickren Pillay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000

Mr David Keith Bailly, DO - Medicare Pediatrics in Boston, MA