Dr Bailey C Despain, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Knoxville, Tennessee. Her current practice location is
2240 Sutherland Ave Ste 103, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(865) 934-6100.
Dr Bailey C Despain is licensed to practice in Tennessee (license number 3994) 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 1154848299.
Healthcare Provider's Profile
| Full Name | Dr Bailey C Despain |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2240 Sutherland Ave Ste 103, Knoxville, Tennessee |
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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: 1154848299
- Provider Enumeration Date: 08/29/2017
- Last Update Date: 12/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012447097
- Enrollment ID: I20250205003270
Medical Identifiers
Medical identifiers for Dr Bailey C Despain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154848299 | NPI | - | NPPES |
| 12791 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3994 (Tennessee) | 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. Dr Bailey C Despain allows following entities to bill medicare on her behalf.
| Entity Name | Cherokee Health Systems |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134128820
PECOS PAC ID: 3577474295
Enrollment ID: O20031119000769 |
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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. Dr Bailey C Despain 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 |
|---|
Dr Bailey C Despain, PSYD
1923 Sulphur Springs Rd,
Morristown, TN 37813-5654
Ph: (423) 317-9344 | Dr Bailey C Despain, PSYD
2240 Sutherland Ave Ste 103,
Knoxville, TN 37919-2333
Ph: (865) 934-6100 |
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