| Justin Tyler Bailey, | |
|
1902 Harper Rd Ste Abc, Beckley, WV 25801-2642 | |
| (304) 253-3000 | |
| (304) 929-2038 |
| Full Name | Justin Tyler Bailey |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 1902 Harper Rd Ste Abc, Beckley, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508406612 | NPI | - | NPPES |
| 0005489001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Med Surg Physician Group, Inc | 2365710761 | 4 |
| Entity Name | Med Surg Physician Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063943678 PECOS PAC ID: 2365710761 Enrollment ID: O20170607001206 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Tyler Bailey, 1902 Harper Rd Ste Abc, Beckley, WV 25801-2642 Ph: (304) 253-3000 | Justin Tyler Bailey, 1902 Harper Rd Ste Abc, Beckley, WV 25801-2642 Ph: (304) 253-3000 |
Ashley White, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1828 Harper Rd, Beckley, WV 25801 Phone: 043-253-4004 |
Matthew L Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 George St, Beckley, WV 25801 Phone: 681-238-6634 |
Chermette Wright, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 George St, Beckley, WV 25801 Phone: 681-238-6634 |
Candance Hawkins, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1810 Harper Rd, Beckley, WV 25801 Phone: 681-207-7123 |
Tanya Renee Ford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Teel Rd, Beckley, WV 25801 Phone: 304-640-7676 |
Mrs. Leann Marie Chesley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Teel Rd, Beckley, WV 25801 Phone: 304-731-5535 |
Zechari James Hazelwood, MA, AADC-S, CCJP Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 George St, Beckley, WV 25801 Phone: 681-220-6634 |