Dr Sean Michael Bacha, DO is a medicare enrolled "Military Health Care Provider" physician in Fort Stewart, Georgia. His current practice location is
1061 Harmon Ave, Fort Stewart, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 435-6965.
Dr Sean Michael Bacha is licensed to practice in Georgia (license number 93792) 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 1356917603.
Physician's Profile
Full Name | Dr Sean Michael Bacha |
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Gender | Male |
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Speciality | Military Health Care Provider |
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Location | 1061 Harmon Ave, Fort Stewart, Georgia |
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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: 1356917603
- Provider Enumeration Date: 05/27/2021
- Last Update Date: 08/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547639353
- Enrollment ID: I20221216001065
Medical Identifiers
Medical identifiers for Dr Sean Michael Bacha such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356917603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 93792 (Georgia) | Secondary |
171000000X | Military Health Care Provider | 93792 (Georgia) | 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. Dr Sean Michael Bacha 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 Sean Michael Bacha, DO 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 | Dr Sean Michael Bacha, DO 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 |
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