Jacob Walter Bailey, - Medicare Physician Assistant in Omaha, NE

Jacob Walter Bailey, is a medicare enrolled "Physician Assistant" physician in Omaha, Nebraska. His current practice location is 2808 N 75th St Ste H, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 932-2248.

Jacob Walter Bailey is licensed to practice in Nebraska (license number 2827) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659012508.

Contact Information

Jacob Walter Bailey,
2808 N 75th St Ste H,
Omaha, NE 68134-6861
(402) 932-2248
Not Available



Physician's Profile

Full NameJacob Walter Bailey
GenderMale
SpecialityPhysician Assistant
Location2808 N 75th St Ste H, Omaha, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659012508
  • Provider Enumeration Date: 04/05/2022
  • Last Update Date: 02/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608245568
  • Enrollment ID: I20221215001677

Medical Identifiers

Medical identifiers for Jacob Walter Bailey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659012508NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology NA (Alabama)Secondary
363A00000XPhysician Assistant 2827 (Nebraska)Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical 2827 (Nebraska)Secondary

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. Jacob Walter 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 AddressPractice Location Address
Jacob Walter Bailey,
Po Box 208004,
New Haven, CT 06520-8004

Ph: (203) 737-2284
Jacob Walter Bailey,
2808 N 75th St Ste H,
Omaha, NE 68134-6861

Ph: (402) 932-2248

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