Dr Kenton Lee Bailey, DDS is a medicare enrolled "Dentist" provider in Monroeville, Indiana. His current practice location is 
506 W South St, Monroeville, Indiana. You can reach out to his office (for appointments etc.) via phone at 
(260) 623-6171.
Dr Kenton Lee Bailey is licensed to practice in Indiana (license number 12009002A) 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 1376508689.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Dr Kenton Lee Bailey | 
|---|
| Gender | Male | 
|---|
| Speciality | Dentist | 
|---|
| Location | 506 W South St, Monroeville, Indiana | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1376508689
 - Provider Enumeration Date: 04/19/2006
 - Last Update Date: 04/09/2013
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 0042453193
 - Enrollment ID: I20180626003639
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Dr Kenton Lee Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1376508689 | NPI | - | NPPES | 
| 100082140A | Medicaid | IN |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 122300000X | Dentist  | 12009002A (Indiana) | Primary | 
		
		
			
			
			
		
		
		 
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 Kenton Lee 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 | 
		Dr Kenton Lee Bailey, DDS 506 W South St, Po Box 419, Monroeville, IN 46773-9592 Ph: (260) 623-6171 | Dr Kenton Lee Bailey, DDS 506 W South St, Monroeville, IN 46773-9592 Ph: (260) 623-6171 | 
		
		 
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