| Dr Merrill Philip Bacon, MD | |
|
3400 Loma Vista Rd, Ste. 9, Ventura, CA 93003-3033 | |
| (805) 644-4477 | |
| Not Available |
| Full Name | Dr Merrill Philip Bacon |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 3400 Loma Vista Rd, Ventura, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225053903 | NPI | - | NPPES |
| 00C315850 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | C31585 (California) | Primary |
| Entity Name | Michigan Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275858862 PECOS PAC ID: 2466626270 Enrollment ID: O20111114000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Merrill Philip Bacon, MD 11999 San Vicente Blvd, Ste. 440, Los Angeles, CA 90049-5131 Ph: (310) 440-3131 | Dr Merrill Philip Bacon, MD 3400 Loma Vista Rd, Ste. 9, Ventura, CA 93003-3033 Ph: (805) 644-4477 |
Dr. Daniel Blaine Asay, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 801-722-8295 | |
Pejman Majd, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-948-5011 | |
Dr. Nelly K Mac, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3400 Loma Vista Rd Ste 9, Ventura, CA 93003 Phone: 805-644-4477 Fax: 805-644-0347 | |
Scott A. Thomas, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-562-5011 | |
Nathan Joseph Waxer, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-652-5011 | |
Jon Nothwang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3291 Loma Vista Rd, Ventura, CA 93003 Phone: 805-642-8565 Fax: 805-642-8564 | |
David Fishman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 300 Hillmont Ave, Ventura, CA 93003 Phone: 805-652-6000 |