Mr Everett Henry Bayliss Jr, RN CNP is a medicare enrolled "Nurse Practitioner - Family" in Emmitsburg, Maryland. His current practice location is
121-123 W. Maine Street, Emmitsburg, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 447-3310.
Mr Everett Henry Bayliss Jr is licensed to practice in Maryland (license number R122359) 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 1336361658.
Provider's Profile
Full Name | Mr Everett Henry Bayliss Jr |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 121-123 W. Maine Street, Emmitsburg, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336361658
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 04/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 0446430003
- Enrollment ID: I20180514001669
Medical Identifiers
Medical identifiers for Mr Everett Henry Bayliss Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336361658 | NPI | - | NPPES |
2679838 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R122359 (Maryland) | Secondary |
163W00000X | Registered Nurse | RN700615 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | SP018374 (Pennsylvania) | Secondary |
363LF0000X | Nurse Practitioner - Family | R122359 (Maryland) | 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. Mr Everett Henry Bayliss Jr allows following entities to bill medicare on his behalf.
Entity Name | Psychogeriatric Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040127000803 |
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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 Everett Henry Bayliss Jr 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 Everett Henry Bayliss Jr, RN CNP Po Box 3002, Gettysburg, PA 17325-0002 Ph: (614) 507-9604 | Mr Everett Henry Bayliss Jr, RN CNP 121-123 W. Maine Street, Emmitsburg, MD 21727 Ph: (301) 447-3310 |
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