| Dr Thomas Bailey, MD | |
|
175 Philpott Ln, Beaver, WV 25813-9501 | |
| (304) 254-9262 | |
| Not Available |
| Full Name | Dr Thomas Bailey |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Addiction Medicine |
| Location | 175 Philpott Ln, Beaver, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659359396 | NPI | - | NPPES |
| 001718055 | Other | WV | WV BCBS |
| 1053229 | Other | WV | WV DWC |
| 17538 | Other | WV | LICENSE |
| 1801525000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0401X | Internal Medicine - Addiction Medicine | 17538 (West Virginia) | Primary |
| Entity Name | Beckley Treatment Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043229594 PECOS PAC ID: 6901231307 Enrollment ID: O20230210000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Bailey, MD 175 Philpott Ln, Beaver, WV 25813-9501 Ph: (304) 254-9262 | Dr Thomas Bailey, MD 175 Philpott Ln, Beaver, WV 25813-9501 Ph: (304) 254-9262 |
Mary E Mckelvey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1196 Airport Rd, Beaver, WV 25813 Phone: 304-253-5155 Fax: 304-252-3471 | |
Bella N Zinzuwadia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 703 Ritter Drive, Beaver, WV 25813 Phone: 304-255-1300 Fax: 304-255-5391 |