Miss Shelby Jo Bailey, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Nashville, Tennessee. Her current practice location is
926 Main St, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 436-9060.
Miss Shelby Jo Bailey is licensed to practice in Missouri (license number 2017018174) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730600974.
Physician's Profile
| Full Name | Miss Shelby Jo Bailey |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 926 Main St, Nashville, Tennessee |
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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: 1730600974
- Provider Enumeration Date: 06/28/2017
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840562021
- Enrollment ID: I20170823001177
Medical Identifiers
Medical identifiers for Miss Shelby Jo Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730600974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208M00000X | Hospitalist | 2017018174 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2017018174 (Missouri) | 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. Miss Shelby Jo Bailey allows following entities to bill medicare on her behalf.
| Entity Name | Citizens Memorial Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
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| Entity Name | In Patient Care Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598085359 PECOS PAC ID: 5092839357 Enrollment ID: O20190418002110 |
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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. Miss Shelby Jo 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 |
Miss Shelby Jo Bailey, FNP-C 2525 Vista Ct, Bolivar, MO 65613-2259 Ph: (417) 298-6908 | Miss Shelby Jo Bailey, FNP-C 926 Main St, Nashville, TN 37206-3614 Ph: (615) 436-9060 |
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