Michael L Bacon, MD in Kingsport, TN - Medicare Emergency Medicine

Michael L Bacon, MD is a medicare enrolled "Emergency Medicine" physician in Kingsport, Tennessee. His current practice location is 130 West Ravine Road, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-4000.

Michael L Bacon is licensed to practice in Tennessee (license number 23688) 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 1780628891.

Contact Information

	Michael L Bacon, MD
	130 West Ravine Road, Kingsport, TN 37662
	(423) 224-4000
	(423) 224-5120

Map and Direction

Physician's Profile

Full Name	Michael L Bacon
Gender	Male
Speciality	Emergency Medicine
Location	130 West Ravine Road, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780628891
Provider Enumeration Date: 06/16/2006
Last Update Date: 09/26/2011

Medicare PECOS Information:

PECOS PAC ID: 6305919523
Enrollment ID: I20110907001156

Medical Identifiers

Medical identifiers for Michael L Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780628891	NPI	-	NPPES
3072071	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	23688 (Tennessee)	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. Michael L Bacon allows following entities to bill medicare on his behalf.

Entity Name	App Of Tennessee Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20180814002326

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. Michael L 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
Michael L Bacon, MD Po Box 11724, Knoxville, TN 37939-1724 Ph: (865) 766-8800	Michael L Bacon, MD 130 West Ravine Road, Kingsport, TN 37662 Ph: (423) 224-4000

Reviews and Comments

Emergency Medicine Doctors in Kingsport, TN

Dr. James Henry Burleson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2000 Brookside Dr, Indian Path Hospital, Kingsport, TN 37660 Phone: 423-857-7870 Fax: 423-857-7872
William D Hudson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37662 Phone: 423-224-4000
Mrs. Susan Watts Jeansonne, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660 Phone: 423-224-3933 Fax: 423-224-3934
Dr. Jeffrey Stayer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-239-9737
Dr. Renee May Sayson Miranda, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Ravine Rd, Kingsport, TN 37660 Phone: 423-245-9600 Fax: 423-245-9634
William E Devens Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37662 Phone: 423-224-4000
Dr. Tunga Trishul Reddy, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 Broad St, Suite 410, Kingsport, TN 37660 Phone: 423-747-1240

Michael L Bacon, MD - Medicare Emergency Medicine in Kingsport, TN