Mr Paul Bailey Iii, LAC in Osceola, AR - Medicare Counselor Provider

Mr Paul Bailey Iii, LAC is a medicare enrolled "Counselor" provider in Osceola, Arkansas. His current practice location is 1487 W Keiser Ave # 1, Osceola, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 563-4500.

Mr Paul Bailey Iii is licensed to practice in Arkansas (license number A1311140) 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 1669802823.

Contact Information

	Mr Paul Bailey Iii, LAC
	1487 W Keiser Ave # 1, Osceola, AR 72370-2806
	(870) 563-4500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul Bailey Iii
Gender	Male
Speciality	Counselor
Location	1487 W Keiser Ave # 1, Osceola, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669802823
Provider Enumeration Date: 11/25/2013
Last Update Date: 12/09/2016

Medicare PECOS Information:

PECOS PAC ID: 7416398409
Enrollment ID: I20240508001082

Medical Identifiers

Medical identifiers for Mr Paul Bailey Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669802823	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	A1311140 (Arkansas)	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 Paul Bailey Iii allows following entities to bill medicare on his behalf.

Entity Name	Changes Behavioral Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114260486 PECOS PAC ID: 6103149653 Enrollment ID: O20150108001118

Entity Name	Supportive Psych Care Of Arkansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887

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 Paul Bailey Iii 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 Paul Bailey Iii, LAC 404 E Brinkley Loop Apt 6, Marion, AR 72364-1644 Ph: (870) 623-9162	Mr Paul Bailey Iii, LAC 1487 W Keiser Ave # 1, Osceola, AR 72370-2806 Ph: (870) 563-4500

Reviews and Comments

Counselor in Osceola, AR

Audrey Denean Parker, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
April L Scrape, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W. Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Bridgette Jean Fielder, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3201 W. Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Mrs. Latasha Lee Dawson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3201 W Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Christie Lynn Brister, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W. Keiser Avenue, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Gail Renee Barger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 West Keiser, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782
Mrs. Kimberly Dawn Tomblin, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3201 W Keiser Ave, Osceola, AR 72370 Phone: 870-622-0592 Fax: 870-622-0782

Mr Paul Bailey Iii, LAC - Medicare Counselor in Osceola, AR