Lisa Gaye Bailey, MD
Individual provider Active NPI Psychiatry Physician · Ashland, OR
NPI 1912927153 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912927153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD20457 (OR)
- Practice address
- 565 A St
Suite 200
Ashland, OR 97520-2063 - Phone
- (541) 482-9492
- Fax
- (541) 482-9485
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20041118000938 | OR | Practitioner - Psychiatry | 5698739696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20457 | OR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Options for Southern Oregon | Current |
Accepting new patients | |
| Options for Southern Oregon | Current |
Accepting new patients |
Locations
1215 SW G St
Grants Pass, OR 97526
Phone (541) 244-4109
1181 SW Ramsey Ave
Grants Pass, OR 97527
Phone (541) 476-2327
1545 Harbeck Rd
Grants Pass, OR 97527
Phone (541) 479-2371
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD20457 | OR | Yes |
Addresses
Primary practice location
565 A St
Suite 200
Ashland, OR 97520-2063
Mailing address
565 A St
Suite 200
Ashland, OR 97520-2063
Phone (541) 482-9492
Other providers in Ashland, OR
- Autumn Doshier Counseling LLC
- Juliana Ayres
- Elizabeth Backus
- Ashley Bactista
- Marie Bagley
- Janet Kay Baker
- Heather Bakner
- Melodee Baldridge
- Jaime Marie Ball
- Lucille Jean Ball
All providers in Ashland, OR · Psychiatry Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.