| Jeffrey P Bailey, CRNA | |
|
1542 S Bloomington St, Greencastle, IN 46135-2212 | |
| (765) 301-7617 | |
| Not Available |
| Full Name | Jeffrey P Bailey |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 1542 S Bloomington St, Greencastle, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598768947 | NPI | - | NPPES |
| 201001060 | Medicaid | IN | |
| 42027 | Other | IA | BCBS PROVIDER # |
| 0237735 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D-093513 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28193939A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Vincent Clay | Brazil, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Putnam County Hospital | 1951396605 | 43 |
| St Vincent Medical Group Inc | 7012047640 | 673 |
| Entity Name | Putnam County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578608188 PECOS PAC ID: 1951396605 Enrollment ID: O20040420000945 |
| Entity Name | Union Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013965573 PECOS PAC ID: 8426943614 Enrollment ID: O20040519000807 |
| Entity Name | St Vincent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey P Bailey, CRNA 8840 Commerce Park Pl Ste E, Indianapolis, IN 46268-3129 Ph: () - | Jeffrey P Bailey, CRNA 1542 S Bloomington St, Greencastle, IN 46135-2212 Ph: (765) 301-7617 |
Dr. Matthew Dean Sheffler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1542 S Bloomington St, Greencastle, IN 46135 Phone: 765-301-7300 |