Thomas P. Bailey, Md, Llc | |
421 7th St Tell City IN 47586-2202 | |
(812) 547-9663 | |
(812) 547-6830 |
Full Name | Thomas P. Bailey, Md, Llc |
---|---|
Speciality | Family Medicine |
Location | 421 7th St, Tell City, Indiana |
Authorized Official Name and Position | Thomas P. Bailey (OWNER) |
Authorized Official Contact | 8125479663 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Thomas P. Bailey, Md, Llc 421 7th St Tell City IN 47586-2202 Ph: (812) 547-9663 | Thomas P. Bailey, Md, Llc 421 7th St Tell City IN 47586-2202 Ph: (812) 547-9663 |
NPI Number | 1366885071 |
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Provider Enumeration Date | 04/11/2013 |
Last Update Date | 04/11/2013 |
Medicare PECOS PAC ID | 1759528896 |
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Medicare Enrollment ID | O20130509000591 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366885071 | NPI | - | NPPES |
200246250B | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01050864A (Indiana) | Primary |
Provider Name | Thomas P Bailey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952325094 PECOS PAC ID: 8426049545 Enrollment ID: I20040519000251 |
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