| James R Bailes Jr, MD | |
|
1115 20th St Ste 105, Huntington, WV 25703-2071 | |
| (304) 399-4141 | |
| (304) 399-4145 |
| Full Name | James R Bailes Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1115 20th St Ste 105, Huntington, 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 |
|---|---|---|---|
| 1891759031 | NPI | - | NPPES |
| 0108955000 | Medicaid | WV | |
| 0921346 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 17593 (West Virginia) | Primary |
| Entity Name | Ohio Valley Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20050422000921 |
| Entity Name | Ovp Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518597988 PECOS PAC ID: 0648694596 Enrollment ID: O20200723003681 |
| Mailing Address | Practice Location Address |
|---|---|
| James R Bailes Jr, MD 1340 Hal Greer Boulevard, Attn: Tammie Silva, Huntington, WV 25701-3800 Ph: (304) 526-2053 | James R Bailes Jr, MD 1115 20th St Ste 105, Huntington, WV 25703-2071 Ph: (304) 399-4141 |
Dr. Tanya G Bigby, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5187 Us Route 60 E, Ste 11, Huntington, WV 25705 Phone: 304-399-5437 Fax: 304-399-1104 | |
Kate M. Waldeck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 | |
Sherrie N Miranda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Medical Center Dr, Suite 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375 | |
Jessie Shields, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr, Sutie 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375 | |
Jackie R Stines Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Drive, Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375 | |
Dr. Rose Mary Ayoob, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375 | |
Jennifer K Gerlach, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr, Ste 3500, Huntington, WV 25701 Phone: 304-691-1300 Fax: 304-691-1375 |