Dr Stefan A Bailis, PSYD in Saint Paul, MN - Medicare Psychologist Provider

Dr Stefan A Bailis, PSYD is a medicare enrolled "Psychologist" provider in Saint Paul, Minnesota. His current practice location is 1600 University Ave W, Suite 203, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 645-0980.

Dr Stefan A Bailis is licensed to practice in Minnesota (license number LP5333) 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 1891086005.

Contact Information

	Dr Stefan A Bailis, PSYD
	1600 University Ave W, Suite 203, Saint Paul, MN 55104-3898
	(651) 645-0980
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stefan A Bailis
Gender	Male
Speciality	Psychologist
Location	1600 University Ave W, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891086005
Provider Enumeration Date: 04/21/2011
Last Update Date: 04/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5092964627
Enrollment ID: I20120925000745

Medical Identifiers

Medical identifiers for Dr Stefan A Bailis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891086005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	LP5333 (Minnesota)	Secondary
103TC0700X	Psychologist - Clinical	LP5333 (Minnesota)	Secondary
103TC1900X	Psychologist - Counseling	LP5333 (Minnesota)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	LP5333 (Minnesota)	Secondary
103TF0000X	Psychologist - Family	LP5333 (Minnesota)	Secondary
103TH0100X	Psychologist - Health Service	LP5333 (Minnesota)	Secondary
103TP2701X	Psychologist - Group Psychotherapy	LP5333 (Minnesota)	Secondary
103T00000X	Psychologist	LP5333 (Minnesota)	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. Dr Stefan A Bailis allows following entities to bill medicare on his behalf.

Entity Name	Behavioral Healthcare Providers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912066218 PECOS PAC ID: 8426374232 Enrollment ID: O20150312002305

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. Dr Stefan A Bailis 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
Dr Stefan A Bailis, PSYD 1910 E 86th St, Apt. 336, Bloomington, MN 55425-2125 Ph: (651) 283-6667	Dr Stefan A Bailis, PSYD 1600 University Ave W, Suite 203, Saint Paul, MN 55104-3898 Ph: (651) 645-0980

Reviews and Comments

Psychologist in Saint Paul, MN

Dr. Daniel Anthony Christensen, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 190 5th St E, Suite 100, Saint Paul, MN 55101 Phone: 651-291-1979
Mr. Paul Sterlacci, LIC. PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2375 University Ave W, Suite 160, Saint Paul, MN 55114 Phone: 651-642-1709
Dr. Tamarind Knutson, PSY.D., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108 Phone: 651-646-8985
Abdinoor Abdullahi Hassan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th St E, Saint Paul, MN 55106 Phone: 315-450-7121
Mohamed Omar Galal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th Street East, Saint Paul, MN 55106 Phone: 315-450-7121 Fax: 651-389-0540
Ms. Sharon Grace Lamb, LP LMFT Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1137 Portland Ave, Saint Paul, MN 55104 Phone: 651-290-9088 Fax: 651-290-9311
Jeffry Alan Cottle, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4164 Hemlock Ln, Saint Paul, MN 55127 Phone: 651-308-7176

Dr Stefan A Bailis, PSYD - Medicare Psychologist in Saint Paul, MN