Charlene Bailey, P.A. C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002587 Issued in MI

Practice address

15501 Metropolitan Pkwy
Ste110
Clinton TWP, MI 48036-1684

Phone

(586) 286-9720

Fax

(586) 286-3134

NPI assigned

Nov 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Keith C McKenzie MD PLLCGroup PAC ID 1658337472, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Keith C McKenzie MD PLLC

  dba The Family Doctor

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1801084629
  Medicare reassignment Care Compare group
• Family Doctors

  • General Practice Physician
  • Denton, TX
  • NPI 1093928970
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Macomb

  • Psychiatric Hospital Unit
  • Shelby Township, MI
  • NPI 1184206385
  Care Compare affiliation
• McLaren Macomb

  • General Acute Care Hospital
  • Mount Clemens, MI
  • NPI 1316938327
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1801975420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "STE110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-286-9720",
            "fax_number": "586-286-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "STE110",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-286-9720",
            "fax_number": "586-286-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "CHARLENE",
        "name_prefix": "Ms.",
        "credential": "P.A. C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "550140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raad Ausi, M.D.
• Azaria Legacy Home Care, LLC
• Baddigam Family Psychiatric Assoc
• Basivi Reddy Baddigam, MD
• Baek & Weeden Medical & Sports Supplies
• Phylicia Bailey
• Baker & Ochs, P.C.
• Susan A Baker-Ochs, DDS
• Laura Jean Balavitch-Gomez, PA
• Anthony Frank Balcerzak, OWNER

• Medical Physician Assistant in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.