Abby Bailly, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tempe, Arizona. Her current practice location is
3920 S Rural Rd Ste 112, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 808-3672.
Abby Bailly is licensed to practice in Arizona (license number LCSW-22474) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417789736.
Healthcare Provider's Profile
| Full Name | Abby Bailly |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3920 S Rural Rd Ste 112, Tempe, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417789736
- Provider Enumeration Date: 08/15/2024
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608316963
- Enrollment ID: I20240912003876
Medical Identifiers
Medical identifiers for Abby Bailly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417789736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-22474 (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Abby Bailly allows following entities to bill medicare on her behalf.
| Entity Name | Aj Southwest Ventures Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639880917
PECOS PAC ID: 8224480090
Enrollment ID: O20240117001778 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abby Bailly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Abby Bailly, MSW, LCSW
3920 S Rural Rd Ste 112,
Tempe, AZ 85282-5500
Ph: (480) 808-3672 | Abby Bailly, MSW, LCSW
3920 S Rural Rd Ste 112,
Tempe, AZ 85282-5500
Ph: (480) 808-3672 |
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