Anthony Wayne Bacon, MD in Salt Lake City, UT

Anthony Wayne Bacon, MD is a medicare enrolled "Surgery - Surgical Critical Care" physician in Salt Lake City, Utah. His current practice location is 30 N 1900 E Rm 3c344, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 585-1618.

Anthony Wayne Bacon is licensed to practice in Utah (license number 11275378-1205) 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 1154611986.

Contact Information

	Anthony Wayne Bacon, MD
	30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002
	(801) 585-1618
	Not Available

Map and Direction

Physician's Profile

Full Name	Anthony Wayne Bacon
Gender	Male
Speciality	Surgery - Surgical Critical Care
Location	30 N 1900 E Rm 3c344, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154611986
Provider Enumeration Date: 04/13/2011
Last Update Date: 06/10/2019

Medicare PECOS Information:

PECOS PAC ID: 4385957166
Enrollment ID: I20190605000578

Medical Identifiers

Medical identifiers for Anthony Wayne Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154611986	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	11275378-1205 (Utah)	Secondary
2086S0102X	Surgery - Surgical Critical Care	11275378-1205 (Utah)	Primary

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. Anthony Wayne Bacon allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	University Of Utah Acuity Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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. Anthony Wayne 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
Anthony Wayne Bacon, MD 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 Ph: (801) 585-1618	Anthony Wayne Bacon, MD 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 Ph: (801) 585-1618

Reviews and Comments

Surgery Doctors in Salt Lake City, UT

Dr. Gregory Lawrence Livers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 129 F St, Salt Lake City, UT 84103 Phone: 801-364-3091
Dr. Melanie Ann Dance, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 E 3900 S, Salt Lake City, UT 84124 Phone: 801-265-2000
Alexander Schurman, Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121
Kaohinani Joseph Longwolf, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132 Phone: 801-213-2598
Marisol Z. Monzon, MD Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121
Dr. Charles David Richards, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1391 E Farm Hill Dr, Salt Lake City, UT 84117 Phone: 801-272-6859
Dr. Teresa Reading, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 10th Ave, #100, Salt Lake City, UT 84103 Phone: 801-408-7660 Fax: 801-408-7650

Anthony Wayne Bacon, MD - Medicare Surgery in Salt Lake City, UT