Mr Gomer Ray Bailey Jr, PHD in Cleveland, OH - Medicare Psychologist Provider

Mr Gomer Ray Bailey Jr, PHD is a medicare enrolled "Psychologist - Clinical" provider in Cleveland, Ohio. His current practice location is 12201 Euclid Ave, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 707-3478.

Mr Gomer Ray Bailey Jr is licensed to practice in Ohio (license number 6583) 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 1740529817.

Contact Information

	Mr Gomer Ray Bailey Jr, PHD
	12201 Euclid Ave, Cleveland, OH 44106-4310
	(216) 707-3478
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Gomer Ray Bailey Jr
Gender	Male
Speciality	Psychologist - Clinical
Location	12201 Euclid Ave, Cleveland, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740529817
Provider Enumeration Date: 02/08/2013
Last Update Date: 02/24/2021

Medicare PECOS Information:

PECOS PAC ID: 6406091362
Enrollment ID: I20140724002137

Medical Identifiers

Medical identifiers for Mr Gomer Ray Bailey Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740529817	NPI	-	NPPES
0218310	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6583 (Ohio)	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. Mr Gomer Ray Bailey Jr allows following entities to bill medicare on his behalf.

Entity Name	Signature Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679767289 PECOS PAC ID: 8628970985 Enrollment ID: O20040126000762

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. Mr Gomer Ray Bailey Jr 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
Mr Gomer Ray Bailey Jr, PHD 1420 Willshire Rd, Lyndhurst, OH 44124-2448 Ph: (216) 702-1225	Mr Gomer Ray Bailey Jr, PHD 12201 Euclid Ave, Cleveland, OH 44106-4310 Ph: (216) 707-3478

Reviews and Comments

Psychologist in Cleveland, OH

Dr. Frank Kenner, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-7800
Ruth Mclatchie, PSY. S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5311 Mound Ave, Cleveland, OH 44105 Phone: 216-990-3288
Dr. Brianne Markley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Cleveland Clinic Mellen Center 9500 Euclid Avenue - U10, Cleveland, OH 44195 Phone: 216-444-8600
Scott M Bea, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9500 Euclid Ave, Cleveland, OH 44195 Phone: 800-223-2273
Dr. Robert L Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109 Phone: 216-778-5790
Dr. Amy Burleson Sullivan, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: The Cleveland Clinic, 9500 Euclid Ave/u10, Cleveland, OH 44195 Phone: 216-444-5376
Shannon Ciriello, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3817 Martin Luther King Jr Dr, Cleveland, OH 44105 Phone: 216-491-5700 Fax: 216-295-4645

Mr Gomer Ray Bailey Jr, PHD - Medicare Psychologist in Cleveland, OH