Melissa M Bacon, DO | |
113 Mcrae Pt, Madison, MS 39110-6579 | |
(507) 250-7030 | |
Not Available |
Full Name | Melissa M Bacon |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 113 Mcrae Pt, Madison, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356458012 | NPI | - | NPPES |
09336744 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 24598 (Mississippi) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Mailing Address | Practice Location Address |
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Melissa M Bacon, DO 113 Mcrae Pt, Madison, MS 39110-6579 Ph: (507) 250-7030 | Melissa M Bacon, DO 113 Mcrae Pt, Madison, MS 39110-6579 Ph: (507) 250-7030 |
Dr. Leslie F Mason, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 115 Fountains Blvd, Suite A, Madison, MS 39110 Phone: 601-853-0100 Fax: 601-853-3999 | |
Dr. Erika Love Tanner, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 115 Fountains Blvd, Suite A, Madison, MS 39110 Phone: 601-853-0100 Fax: 601-853-3999 |