Richard H Bailey, M.D.
Individual provider Active NPI Internal Medicine Physician · Tomah, WI
NPI 1124068168 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1124068168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 47231 (WI)
- Practice address
- 500 E Veterans St
Tomah, WI 54660-3105 - Phone
- (608) 372-3971
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Missouri, Columbia School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stockbridge Munsee Community
Practice addresses (Care Compare)
W12802 County Rd a
Bowler, WI 54416-9551
Phone (715) 793-5031
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20041008000169 | WI | Practitioner - Internal Medicine | 3375535412 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47231 | WI | MD | Internal Medicine Physician |
| 47231-200 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stockbridge Munsee Community | Current |
Accepting new patients |
Locations
W12802 County Road A
Bowler, WI 54416
Phone (715) 793-4144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 47231-200 | WI | |
| Internal Medicine Physician | 207R00000X | 47231 | WI | Yes |
Addresses
Primary practice location
500 E Veterans St
Tomah, WI 54660-3105
Mailing address
1655 N 44TH Ave
Wausau, WI 54401-9771
Phone (715) 741-0122
Other practice location 1
3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34571800 | Medicaid | WI |
Other providers in Tomah, WI
- Kirstin Ann Arndt
- Joshua Charles Aronson
- Arrow Behavioral Health Services
- Amy Marie Atherton
- Jamie Bailey
- Kristina K. Baldwin
- Olga Awoulelou Bali
- Jack Ballering
- Ramona C Balsdon
- Richard William Banks
All providers in Tomah, WI · Internal Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. 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.