Kendall F Bacon, MSW is a medicare enrolled "Marriage & Family Therapist" provider in Fitchburg, Massachusetts. His current practice location is
915 South St, Fitchburg, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(978) 345-4147.
Kendall F Bacon is licensed to practice in Massachusetts (license number 105716) 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 1558344523.
Healthcare Provider's Profile
Full Name | Kendall F Bacon |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 915 South St, Fitchburg, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558344523
- Provider Enumeration Date: 11/23/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5496749012
- Enrollment ID: I20140117000420
Medical Identifiers
Medical identifiers for Kendall F Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558344523 | NPI | - | NPPES |
127184 | Other | | TRICARE |
P07079 | Other | MA | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 105716 (Massachusetts) | Primary |
104100000X | Social Worker | 105716 (Massachusetts) | Primary |
106H00000X | Marriage & Family Therapist | 105716 (Massachusetts) | Primary |
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. Kendall F Bacon 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 |
Kendall F Bacon, MSW 855 Mountain Rd, Jaffrey, NH 03452 Ph: (603) 532-8615 | Kendall F Bacon, MSW 915 South St, Fitchburg, MA 01420 Ph: (978) 345-4147 |
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