Dr Wendy Bailey, PHD is a medicare enrolled "Psychologist - Clinical" provider in Milbank, South Dakota. Her current practice location is
301 Flynn Dr, Milbank, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 432-4587.
Dr Wendy Bailey is licensed to practice in South Dakota (license number 569) 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 1053474650.
Healthcare Provider's Profile
| Full Name | Dr Wendy Bailey |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 301 Flynn Dr, Milbank, South Dakota |
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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: 1053474650
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 11/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103170055
- Enrollment ID: I20181113002660
Medical Identifiers
Medical identifiers for Dr Wendy Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053474650 | NPI | - | NPPES |
| 000961188E | Medicaid | GA | |
| 10032548 | Other | GA | AMERIGROUP PROVIDER NUMBR |
| 100651 | Other | GA | CENPATICO BEHAVIORAL HLTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY002609 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 569 (South Dakota) | 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 Wendy Bailey allows following entities to bill medicare on her behalf.
| Entity Name | Avera Mckennan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117 |
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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. Dr Wendy Bailey 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 Wendy Bailey, PHD
301 Flynn Dr,
Milbank, SD 57252-1508
Ph: (605) 432-4587 | Dr Wendy Bailey, PHD
301 Flynn Dr,
Milbank, SD 57252-1508
Ph: (605) 432-4587 |
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