MEDICARE: BAILEY ROSE MEDICAL BILLING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1194324012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAILEY ROSE MEDICAL BILLING LLC

Provider Business Mailing Address
First Line	:	PO BOX 1540
Second Line	:
City	:	BRENTWOOD
State	:	CA
Zip	:	94513-3540
Country	:	US
Telephone Number	:	866-484-7837
Fax Number	:	925-448-9147

Provider Business Practice Location Address
First Line	:	1210 CENTRAL BLVD STE 101
Second Line	:
City	:	BRENTWOOD
State	:	CA
Zip	:	94513-2360
Country	:	US
Telephone Number	:	866-484-7837
Fax Number	:	925-448-9147

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	RACHEL TURNAGE
Credential	:	CMRS
Telephone Number	:	925-234-9655

Provider Enumeration Date	:	10/21/2020
Last Update Date	:	06/29/2021

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