William Russell Bacon, MD - Medicare Diagnostic Radiology in Eden Prairie, MN

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William Russell Bacon, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Eden Prairie, Minnesota. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Alliance Pc and his current practice location is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 595-1301.

William Russell Bacon is licensed to practice in Florida (license number ME151240) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609014489.

Contact Information

William Russell Bacon, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349
(952) 595-1301
(612) 294-4903

Map and Direction




Physician's Profile

Full NameWilliam Russell Bacon
GenderMale
SpecialityDiagnostic Radiology
Experience18 Years
Location11995 Singletree Ln Ste 500, Eden Prairie, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • William Russell Bacon graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1609014489
  • Provider Enumeration Date: 02/02/2009
  • Last Update Date: 08/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5294905386
  • Enrollment ID: I20211221000479

Medical Identifiers

Medical identifiers for William Russell Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609014489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 47338 (Tennessee)Secondary
2085R0202XRadiology - Diagnostic Radiology ME151240 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tristar Centennial Medical CenterNashville, TNHospital
Tristar Skyline Medical CenterNashville, TNHospital
Tristar Summit Medical CenterHermitage, TNHospital
Greenview Regional HospitalBowling green, KYHospital
Tristar Hendersonville Medical CenterHendersonville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Alliance Pc1850280470230

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. William Russell Bacon allows following entities to bill medicare on his behalf.
Entity NameRadiology Associates Of South Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699759183
PECOS PAC ID: 5799689659
Enrollment ID: O20031121000573
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20040714001317
Entity NameSpecialists In Medical Imaging Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687951
PECOS PAC ID: 2163733544
Enrollment ID: O20160113000419
Entity NameRadiology Alliance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861478489
PECOS PAC ID: 1850280470
Enrollment ID: O20180302000956

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. William Russell 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 AddressPractice Location Address
William Russell Bacon, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1301		William Russell Bacon, MD
11995 Singletree Ln Ste 500,
Eden Prairie, MN 55344-5349

Ph: (952) 595-1301

Reviews and Comments


Radiology Doctors in Eden Prairie, MN

Norna L. Karp, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Christopher Calixte, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Paul D Guisler, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Rati N Patel, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Jacob Gebrael, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Susanne S. Kim, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903
Gwendolyn Durgin, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344
Phone: 952-595-1301    Fax: 612-294-4903

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.