Garrick Keith Bailey, MD is a medicare enrolled "Pediatrics" physician in Baldwin, Georgia. His current practice location is
155 Professional Dr, Baldwin, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 776-2368.
Garrick Keith Bailey is licensed to practice in Georgia (license number 041507) 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 1104806009.
Physician's Profile
| Full Name | Garrick Keith Bailey |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 155 Professional Dr, Baldwin, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104806009
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587743885
- Enrollment ID: I20080512000040
Medical Identifiers
Medical identifiers for Garrick Keith Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104806009 | NPI | - | NPPES |
| 52581168 | Other | GA | BCBS |
| 756400 | Other | GA | WELLCARE |
| 302389 | Other | GA | WELLCARE |
| 000707176A | Medicaid | GA | |
| 000707176C | Medicaid | GA | |
| 000707176B | Medicaid | GA | |
| 2031816 | Other | GA | AETNA HMO |
| 302374 | Other | GA | WELLCARE |
| 302381 | Other | GA | WELLCARE |
| 302388 | Other | GA | WELLCARE |
| 5363212 | Other | GA | AETNA PPO |
| 5486464 | Other | GA | CIGNA |
| 000707176D | Medicaid | GA | |
| 1200031 | Other | GA | UNITED HEALTHCARE |
| 10032963 | Other | GA | AMERIGROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 041507 (Georgia) | 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. Garrick Keith Bailey allows following entities to bill medicare on his behalf.
| Entity Name | The Longstreet Clinic, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
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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. Garrick Keith 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 |
Garrick Keith Bailey, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Garrick Keith Bailey, MD 155 Professional Dr, Baldwin, GA 30511-4000 Ph: (706) 776-2368 |
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