Provider Demographics
NPI:1780853192
Name:BAY PHYSICIAN MEDICAL BILLING GROUP
Entity Type:Organization
Organization Name:BAY PHYSICIAN MEDICAL BILLING GROUP
Other - Org Name:BAY BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-747-6917
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-0895
Mailing Address - Country:US
Mailing Address - Phone:888-313-5258
Mailing Address - Fax:205-313-5245
Practice Address - Street 1:1940 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4542
Practice Address - Country:US
Practice Address - Phone:888-313-5258
Practice Address - Fax:205-313-5245
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL38589OtherBCBS OF FL