Bruce R Bacon, MD in Saint Louis, MO - Medicare Internal Medicine

Bruce R Bacon, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Saint Louis, Missouri. His current practice location is 3660 Vista Ave, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 577-8764.

Bruce R Bacon is licensed to practice in Missouri (license number R3L81) 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 1083622963.

Contact Information

	Bruce R Bacon, MD
	3660 Vista Ave, Saint Louis, MO 63110-2540
	(314) 577-8764
	(314) 577-8125

Map and Direction

Physician's Profile

Full Name	Bruce R Bacon
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	3660 Vista Ave, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083622963
Provider Enumeration Date: 08/04/2006
Last Update Date: 03/18/2008

Medicare PECOS Information:

PECOS PAC ID: 5698726206
Enrollment ID: I20050310000117

Medical Identifiers

Medical identifiers for Bruce R Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083622963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	R3L81 (Missouri)	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. Bruce R Bacon allows following entities to bill medicare on his behalf.

Entity Name	Slh Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881668051 PECOS PAC ID: 9830132653 Enrollment ID: O20050602000941

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. Bruce R 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
Bruce R Bacon, MD 3691 Rutger St, Provider Enrollment, Saint Louis, MO 63110-2515 Ph: (314) 977-4440	Bruce R Bacon, MD 3660 Vista Ave, Saint Louis, MO 63110-2540 Ph: (314) 577-8764

Reviews and Comments

Internal Medicine Doctors in Saint Louis, MO

Dr. Isik Turker, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Div Im Cardiology, Ste 8b, Saint Louis, MO 63110 Phone: 314-362-1291 Fax: 314-362-4278
Conor Mccartney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100
Dr. Faris Adam Bakeer, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878
Dr. Rehan Rais, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878
Nathan Farkas, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930
Dr. Randy Olivier Laine, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878
Dr. Erin Leigh Dyer, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959

Bruce R Bacon, MD - Medicare Internal Medicine in Saint Louis, MO