| Carla J Bailey, | |
|
415 E Madison St, South Bend, IN 46617-2322 | |
| (574) 849-7693 | |
| Not Available |
| Full Name | Carla J Bailey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 415 E Madison St, South Bend, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831763093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 2020043811 (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maple City Health Care Center Inc | 2163569401 | 26 |
| Entity Name | Maple City Health Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033166095 PECOS PAC ID: 2163569401 Enrollment ID: O20110615000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla J Bailey, Po Box 6, Bristol, IN 46507-0006 Ph: (574) 849-7693 | Carla J Bailey, 415 E Madison St, South Bend, IN 46617-2322 Ph: (574) 849-7693 |
Cynthia Susan Fodness, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-234-0061 Fax: 574-283-1209 | |
Stacy L Mc Dowell, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr Ste 312, South Bend, IN 46601 Phone: 574-647-5200 Fax: 574-647-5210 | |
Ms. Patricia A. Mcquade, APRN MSN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1604 Blue Heron Way, South Bend, IN 46628 Phone: 574-271-7843 | |
Amy Hernandez, RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 52565 In 933, South Bend, IN 46637 Phone: 574-213-5699 | |
Jane P. Philips, RN, MS, OCN, CLT Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, Rehabilitation Services, South Bend, IN 46601 Phone: 574-647-1068 Fax: 574-647-7074 | |
Ms. Tracy Lee Edwards, PMHNP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 220 W Colfax Ave Ste 400, South Bend, IN 46601 Phone: 574-546-1900 |