| Bailey Spine & Wellness, Llc | |
|
224 Southpark Cir E Saint Augustine FL 32086 | |
| (904) 342-4941 | |
| (904) 342-4937 |
| Full Name | Bailey Spine & Wellness, Llc |
|---|---|
| Speciality | General Practice |
| Location | 224 Southpark Cir E, Saint Augustine, Florida |
| Authorized Official Name and Position | Jason Arnold Bailey (MANAGER) |
| Authorized Official Contact | 9043424941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Spine & Wellness, Llc 224 Southpark Cir E Saint Augustine FL 32086-5135 Ph: (904) 342-4941 | Bailey Spine & Wellness, Llc 224 Southpark Cir E Saint Augustine FL 32086 Ph: (904) 342-4941 |
| NPI Number | 1255876033 |
|---|---|
| Provider Enumeration Date | 01/03/2017 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 1052698388 |
|---|---|
| Medicare Enrollment ID | O20170515001297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255876033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jason A Bailey |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871624296 PECOS PAC ID: 3072588771 Enrollment ID: I20040827000509 |
| Provider Name | Zehra A Cumber |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1225051238 PECOS PAC ID: 4587687470 Enrollment ID: I20060105000906 |
| Provider Name | Brittney S Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023128600 PECOS PAC ID: 3577587062 Enrollment ID: I20100218000770 |
| Provider Name | Diane E. Sanjines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023540580 PECOS PAC ID: 4981971215 Enrollment ID: I20170517000748 |
| Provider Name | Chastity D Haltam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780214767 PECOS PAC ID: 2062840622 Enrollment ID: I20200312001475 |
| Provider Name | Samantha Lee Croft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669161113 PECOS PAC ID: 3173980927 Enrollment ID: I20230609000215 |
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