Bailey Adams Woodward, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

330005 Issued in LA

Practice address

117 Ellington Dr
Rayville, LA 71269-3632

Phone

(318) 728-0281

Fax

(318) 728-0282

NPI assigned

Feb 17, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bruyninckx Medical LLCGroup PAC ID 2860807419, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruyninckx Medical LLC

  • Internal Medicine Physician
  • Rayville, LA
  • NPI 1700481660
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1548915531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3966 HIGHWAY 80",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712696910",
            "telephone_number": "318-706-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ELLINGTON DR",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693632",
            "telephone_number": "318-728-0281",
            "fax_number": "318-728-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "BAILEY",
        "middle_name": "ADAMS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "330005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Renee Wilder, C.I.T.
• Gloria Wilhite
• Atriss Williams
• Shan' Desiree Williams
• Ashley Lebeaux Williamson, LOTR
• Langston Yancey, RPH
• Yanceys Drugs Inc
• Yanceys Drugs Inc
• Ryan Lee Yates, APRN

• Physician Assistant in Rayville, LA
• Providers in Rayville, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.