| The Bailey Medical Group P.c. | |
|
4777 E Outer Dr Ste. 110 Detroit MI 48234-3241 | |
| (313) 305-7940 | |
| (313) 305-7942 |
| Full Name | The Bailey Medical Group P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4777 E Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Craig A Bailey (OWNER) |
| Authorized Official Contact | 3133057940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bailey Medical Group P.c. 4777 E Outer Dr Ste. 110 Detroit MI 48234-3241 Ph: (313) 305-7940 | The Bailey Medical Group P.c. 4777 E Outer Dr Ste. 110 Detroit MI 48234-3241 Ph: (313) 305-7940 |
| NPI Number | 1477981736 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 10/24/2013 |
| Medicare PECOS PAC ID | 8729217344 |
|---|---|
| Medicare Enrollment ID | O20140131000148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477981736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301093034 (Michigan) | Primary |
| Provider Name | Alan F Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275611667 PECOS PAC ID: 7416859418 Enrollment ID: I20040121000757 |
| Provider Name | Dean E Fior |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780899047 PECOS PAC ID: 9234283771 Enrollment ID: I20090818000183 |
| Provider Name | Alice N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558615419 PECOS PAC ID: 0345494738 Enrollment ID: I20130213000036 |
| Provider Name | Craig A Bailey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619106119 PECOS PAC ID: 3072768829 Enrollment ID: I20130227000290 |
| Provider Name | Catherine Simeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366793168 PECOS PAC ID: 6103056627 Enrollment ID: I20160408000775 |
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