Mr Christopher Shane Bailey, LPC in Yadkinville, NC

Mr Christopher Shane Bailey, LPC is a medicare enrolled "Counselor - Professional" provider in Yadkinville, North Carolina. His current practice location is 320 E Lee Ave, Yadkinville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 679-8805.

Mr Christopher Shane Bailey is licensed to practice in North Carolina (license number 5493) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679781249.

Contact Information

	Mr Christopher Shane Bailey, LPC
	320 E Lee Ave, Yadkinville, NC 27055-8132
	(336) 679-8805
	(336) 679-3075

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Christopher Shane Bailey
Gender	Male
Speciality	Counselor - Professional
Location	320 E Lee Ave, Yadkinville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679781249
Provider Enumeration Date: 05/18/2007
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 7113363193
Enrollment ID: I20240313000417

Medical Identifiers

Medical identifiers for Mr Christopher Shane Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679781249	NPI	-	NPPES
6103869	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5493 (North Carolina)	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. Mr Christopher Shane Bailey allows following entities to bill medicare on his behalf.

Entity Name	Daymark Recovery Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213

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. Mr Christopher Shane Bailey 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
Mr Christopher Shane Bailey, LPC 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100	Mr Christopher Shane Bailey, LPC 320 E Lee Ave, Yadkinville, NC 27055-8132 Ph: (336) 679-8805

Reviews and Comments

Counselor in Yadkinville, NC

Charles B Gross, Counselor Medicare: Medicare Enrolled Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805
Cynthia Brown Stiltner, NCC, LCAS-A, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805 Fax: 336-679-3057
Susan L Sawyers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 Phone: 336-679-6719 Fax: 336-679-6723
Jerrold Max Evington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805 Fax: 336-679-3057
Cleveland Nathaniel Cockerham Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 704-939-1100
Ms. Wanda J Burger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 W Main St # 400, Yadkinville, NC 27055 Phone: 336-849-7975 Fax: 336-849-7767
Christopher Stewart Sapp, LCMHCA, LCAS, CSI Counselor Medicare: Medicare Enrolled Practice Location: 320 E Lee Ave, Yadkinville, NC 27055 Phone: 336-679-8805

Mr Christopher Shane Bailey, LPC - Medicare Counselor in Yadkinville, NC