Lita C Bailly, FNP in Grants, NM - Medicare Nurse Practitioner

Lita C Bailly, FNP is a medicare enrolled "Nurse Practitioner - Family" in Grants, New Mexico. Her current practice location is 1217 Bonita St, Grants, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 287-2950.

Lita C Bailly is licensed to practice in Maine (license number AP081328) 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 1306856166.

Contact Information

	Lita C Bailly, FNP
	1217 Bonita St, Grants, NM 87020-2103
	(505) 287-2950
	(505) 287-2403

Map and Direction

Provider's Profile

Full Name	Lita C Bailly
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1217 Bonita St, Grants, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306856166
Provider Enumeration Date: 08/08/2006
Last Update Date: 10/27/2011

Medicare PECOS Information:

PECOS PAC ID: 6800814237
Enrollment ID: I20120206000827

Medical Identifiers

Medical identifiers for Lita C Bailly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306856166	NPI	-	NPPES
335260099	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R029543 (Maine)	Secondary
363LF0000X	Nurse Practitioner - Family	AP081328 (Maine)	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. Lita C Bailly allows following entities to bill medicare on her behalf.

Entity Name	Sage Specialty Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629495494 PECOS PAC ID: 5991923302 Enrollment ID: O20140827000861

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. Lita C Bailly 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
Lita C Bailly, FNP 1217 Bonita St, Grants, NM 87020-2103 Ph: (505) 287-2950	Lita C Bailly, FNP 1217 Bonita St, Grants, NM 87020-2103 Ph: (505) 287-2950

Reviews and Comments

Nurse Practitioner Nurses in Grants, NM

Miss Dorcas Ann Yates, RN CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 E Roosevelt Ave, Grants, NM 87020 Phone: 505-287-2948 Fax: 505-287-5372
Patricia Thompson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2111 Lobo Canyon Rd, Grants, NM 87020 Phone: 505-876-8300 Fax: 505-876-8348
Daniel Edward Fenton Ii, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 E Roosevelt Ave, Grants, NM 87020 Phone: 505-658-1347 Fax: 866-422-1014
Martha Elia Reyes, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1423 E Roosevelt Ave, Grants, NM 87020 Phone: 505-287-6500
Ms. Martha Abeyta, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1210 Mt. Taylor Ave, Grants, NM 87020 Phone: 505-240-1555 Fax: 505-287-2465
Eun Bellisario, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1217 Bonita St, Grants, NM 87020 Phone: 505-287-2958 Fax: 505-287-2403

Lita C Bailly, FNP - Medicare Nurse Practitioner in Grants, NM