Jeffrey Lance Bacon, DO | |
615 Fairhurst St, Sterling, CO 80751-4564 | |
(970) 521-3223 | |
Not Available |
Full Name | Jeffrey Lance Bacon |
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Gender | Male |
Speciality | Family Medicine |
Location | 615 Fairhurst St, Sterling, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255391132 | NPI | - | NPPES |
95304789 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38444 (Colorado) | Primary |
Entity Name | Sterling Regional Medcenter |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942238555 PECOS PAC ID: 8022928050 Enrollment ID: O20031105000233 |
Mailing Address | Practice Location Address |
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Jeffrey Lance Bacon, DO 1010 N Country Club Dr, Mesa, AZ 85201-3309 Ph: (480) 461-2409 | Jeffrey Lance Bacon, DO 615 Fairhurst St, Sterling, CO 80751-4564 Ph: (970) 521-3223 |
Craig Vanschooneveld, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Delmar St, Sterling, CO 80751 Phone: 970-522-6120 Fax: 970-522-7700 | |
Curtis Carl Clark, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1405 S 8th Ave, Suite 103, Sterling, CO 80751 Phone: 970-522-3304 Fax: 970-522-4615 | |
Aniecia Victoria Hicks, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Hays Ave, Sterling, CO 80751 Phone: 970-521-3223 | |
Dr. Charles Anthony Gerk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 S 8th Ave, Suite 103, Sterling, CO 80751 Phone: 970-522-3304 | |
Paula Jean Frantz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 108 Delmar St, Sterling, CO 80751 Phone: 970-526-6131 | |
Keyna I Schlup, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 428 S 2nd St, Sterling, CO 80751 Phone: 406-212-4523 Fax: 402-337-8898 |