Derrick A Bailey, MD
Individual provider Active NPI Internal Medicine Physician · Plainville, CT
NPI 1053508945 · NPPES record last updated Oct 9, 2015
Key facts
- NPI
- 1053508945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 23594 (CT)
- Practice address
- 240 East St
Plainville, CT 06062-2935 - Phone
- (860) 747-4541
- Fax
- (860) 793-1218
- NPI assigned
- Sep 25, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Howard University College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MD Now Medical Centers Inc
Practice addresses (Care Compare)
640 21St St
Vero Beach, FL 32960-0933
Phone (772) 299-1092
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151103002895 | FL | Practitioner - Internal Medicine |
8123114980 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23594 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MD Now Medical Centers Inc | Current | Accepting new patients | |
| MD Now Medical Centers Inc | Current |
Accepting new patients | |
| Hagedorn Assoc PC | Past |
Accepting new patients |
Locations
1801 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-1700
4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141
1900 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 398-1588
640 21st St
Vero Beach, FL 32960
Phone (772) 299-1092
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23594 | CT | Yes |
Addresses
Primary practice location
240 East St
Plainville, CT 06062-2935
Mailing address
1900Seport St Lucie Blvd
Port Saint Lucie, FL 34952-5554
Phone (772) 335-2614
Other providers in Plainville, CT
- Jesse Collin Austin
- Amanda Ayers
- Olivia Anne Ayers
- B Well Home Companion Services LLC
- Back on Track Chiropractic LLC
- Adela Bajraktarevic
- Kristina Baker
- Kenneth P. Bangs
- Martha S Barcelos
- Brooke Barney
All providers in Plainville, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.