Nickolas Bacon, MD in Festus, MO - Medicare Internal Medicine

Nickolas Bacon, MD is a medicare enrolled "Internal Medicine" physician in Festus, Missouri. His current practice location is 1400 Us Highway 61, Festus, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 933-5337.

Nickolas Bacon is licensed to practice in Missouri (license number 2024001495) 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 1972172666.

Contact Information

	Nickolas Bacon, MD
	1400 Us Highway 61, Festus, MO 63028-4100
	(636) 933-5337
	Not Available

Map and Direction

Physician's Profile

Full Name	Nickolas Bacon
Gender	Male
Speciality	Internal Medicine
Location	1400 Us Highway 61, Festus, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972172666
Provider Enumeration Date: 06/17/2021
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 7214331453
Enrollment ID: I20240813002661

Medical Identifiers

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

Identifier	Type	State	Issuer
1972172666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2024001495 (Missouri)	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. Nickolas Bacon allows following entities to bill medicare on his behalf.

Entity Name	Mercy Hospitals East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107

Entity Name	Mercy Clinic Adult Hospitalists - St. Louis, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841235108 PECOS PAC ID: 6002809944 Enrollment ID: O20040406001004

Entity Name	Mercy Clinic Adult Hospitalists - Washington, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891943429 PECOS PAC ID: 3577630540 Enrollment ID: O20080917000782

Entity Name	St Anthonys Physician Organization Hospitalist Services Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407216336 PECOS PAC ID: 5092980656 Enrollment ID: O20111208000771

Entity Name	Mercy Clinic Adult Hospitalists Jefferson Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083052492 PECOS PAC ID: 8628205598 Enrollment ID: O20131220001798

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. Nickolas 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
Nickolas Bacon, MD 1400 Us Highway 61 Ste H1521, Festus, MO 63028-4100 Ph: (636) 933-5337	Nickolas Bacon, MD 1400 Us Highway 61, Festus, MO 63028-4100 Ph: (636) 933-5337

Reviews and Comments

Internal Medicine Doctors in Festus, MO

Holly Ackermann, FNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1153 E Gannon Dr, Festus, MO 63028 Phone: 636-282-0380 Fax: 636-282-0384
Karthik Iyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Us Highway 61, Festus, MO 63028 Phone: 636-933-5337
Joanne M Waltman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900 Fax: 636-933-8017
Dr. Manzoor Ahmad Tariq, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1071 Airport Road, Festus, MO 63028 Phone: 636-931-7111 Fax: 636-937-7486
Amit J Shah, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Calvary Church Rd, Festus, MO 63028 Phone: 636-933-2900
Amanda E Avellone, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1455 Us Highway 61, Festus, MO 63028 Phone: 636-937-3121 Fax: 636-937-4423
Jooho Peter Kim, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 Us Highway 61 # H1521, Festus, MO 63028 Phone: 636-933-5337 Fax: 636-933-8090

Nickolas Bacon, MD - Medicare Internal Medicine in Festus, MO