Jason Alan Bailey, M.D.
Individual provider Active NPI Emergency Medicine Physician · Lagrange, KY
NPI 1962547489 · NPPES record last updated Jan 15, 2008
Key facts
- NPI
- 1962547489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- R1390 (KY)
- Practice address
- 1610 Tina CT
Lagrange, KY 40031-9345 - Phone
- (502) 222-3572
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America LLC
Practice addresses (Care Compare)
600 E Blvd
Elkhart, IN 46514-2483
Phone (574) 294-2621
Hospital & facility affiliations
- Elkhart General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20090610000268 | IN | Practitioner - Emergency Medicine | 1759461536 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1390 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Elite Emergency Physicians Inc | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Physicians in Emergency Medicine PSC | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R1390 | KY | Yes |
Addresses
Primary practice location
1610 Tina CT
Lagrange, KY 40031-9345
Mailing address
1610 Tina CT
Lagrange, KY 40031-9345
Phone (502) 222-3572
Other providers in Lagrange, KY
- Gina Anderson
- Ann E Roberts MD PSC
- At Home Rehab Alliance, Inc
- Nicholas A Austin
- Hilary Balzer
- Baptist Healthcare Affiliates
- Baptist Healthcare System Inc
- Baptist Healthcare System Inc
- Baptist Healthcare System, Inc
All providers in Lagrange, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2008. 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.