Dr Jonathan Patrick Bacon, DDS in Baltimore, MD

Dr Jonathan Patrick Bacon, DDS is a medicare enrolled "Dentist - Dentist Anesthesiologist" provider in Baltimore, Maryland. His current practice location is 2700 Quarry Lake Dr Ste 190, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 484-4401.

Dr Jonathan Patrick Bacon is licensed to practice in Maryland (license number 15309) 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 1811336142.

Contact Information

	Dr Jonathan Patrick Bacon, DDS
	2700 Quarry Lake Dr Ste 190, Baltimore, MD 21209-3743
	(410) 484-4401
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jonathan Patrick Bacon
Gender	Male
Speciality	Dentist - Dentist Anesthesiologist
Location	2700 Quarry Lake Dr Ste 190, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811336142
Provider Enumeration Date: 06/20/2013
Last Update Date: 10/09/2019

Medicare PECOS Information:

PECOS PAC ID: 6608093216
Enrollment ID: I20140805002157

Medical Identifiers

Medical identifiers for Dr Jonathan Patrick Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811336142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223D0004X	Dentist - Dentist Anesthesiologist	15309 (Maryland)	Primary
1223P0221X	Dentist - Pediatric Dentistry	15309 (Maryland)	Secondary

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. Dr Jonathan Patrick Bacon allows following entities to bill medicare on his behalf.

Entity Name	Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130

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. Dr Jonathan Patrick 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
Dr Jonathan Patrick Bacon, DDS 1220 Caraway Ct Ste 1050, Upper Marlboro, MD 20774-5338 Ph: () -	Dr Jonathan Patrick Bacon, DDS 2700 Quarry Lake Dr Ste 190, Baltimore, MD 21209-3743 Ph: (410) 484-4401

Reviews and Comments

Dentist in Baltimore, MD

Fred Matthew Lee, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 650 W Baltimore St Ste 6402, Baltimore, MD 21201 Phone: 410-706-7461
Dr. Nicholas Sewell Bennett, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 10 N Greene St, 2-d-137, Baltimore, MD 21201 Phone: 410-605-7056
Michael A White, DDS Dentist Medicare: Medicare Enrolled Practice Location: 200 E 33rd St, Suite 284, Baltimore, MD 21218 Phone: 410-235-0062 Fax: 410-235-1495
Stanley Klein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2215 Ken Oak Road, Baltimore, MD 21209 Phone: 443-271-3682
Adrian A Sanchez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 817 Maiden Choice Ln, Suite 220, Baltimore, MD 21228 Phone: 410-719-9641
Dr. William Edward Leboe, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5 E Henrietta St, Baltimore, MD 21230 Phone: 410-659-0616 Fax: 410-539-1433
Mr. Brian Toms Wycall, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3701 Eastern Ave, Baltimore, MD 21224 Phone: 410-327-7639 Fax: 410-342-8093

Dr Jonathan Patrick Bacon, DDS - Medicare Dentist in Baltimore, MD