Bailey R Kennedy, OD is a medicare enrolled "Optometrist" provider in Millsap, Texas. Her current practice location is
1120 Fm 1189 Ste 106, Millsap, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 771-0241.
Bailey R Kennedy is licensed to practice in Texas (license number 9669T) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457910861.
Healthcare Provider's Profile
| Full Name | Bailey R Kennedy |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 1120 Fm 1189 Ste 106, Millsap, Texas |
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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: 1457910861
- Provider Enumeration Date: 06/10/2019
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638407141
- Enrollment ID: I20190821004675
Medical Identifiers
Medical identifiers for Bailey R Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457910861 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 9669T (Texas) | 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. Bailey R Kennedy allows following entities to bill medicare on her behalf.
| Provider Name | Marcus H Gleaton |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1285644005
PECOS PAC ID: 9739272121
Enrollment ID: I20151119000678 |
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| Provider Name | Eagle Eye Care Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750078325
PECOS PAC ID: 1658728712
Enrollment ID: O20231110000895 |
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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. Bailey R Kennedy 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 |
|---|
Bailey R Kennedy, OD
1120 Fm 1189 Ste 106-107,
Millsap, TX 76066-3545
Ph: (817) 406-2996 | Bailey R Kennedy, OD
1120 Fm 1189 Ste 106,
Millsap, TX 76066-3546
Ph: (817) 771-0241 |
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