Liane Mae Bacon, BSN, RN in Wilkes Barre, PA - Medicare Nurse Anesthetist, Certified Registered

Liane Mae Bacon, BSN, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wilkes Barre, Pennsylvania. Her current practice location is 1000 E Mountain Dr, Wilkes Barre, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 808-7300.

Liane Mae Bacon is licensed to practice in Pennsylvania (license number RN512192L) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699475517.

Contact Information

	Liane Mae Bacon, BSN, RN
	1000 E Mountain Dr, Wilkes Barre, PA 18711-0001
	(570) 808-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Liane Mae Bacon
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1000 E Mountain Dr, Wilkes Barre, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699475517
Provider Enumeration Date: 03/08/2023
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8729436985
Enrollment ID: I20231128002864

Medical Identifiers

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

Identifier	Type	State	Issuer
1699475517	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	RN512192L (Pennsylvania)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN512192L (Pennsylvania)	Primary
163W00000X	Registered Nurse	RN512192L (Pennsylvania)	Secondary

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. Liane Mae Bacon allows following entities to bill medicare on her behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

Entity Name	Geisinger-hm Joint Venture Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803

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. Liane Mae 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
Liane Mae Bacon, BSN, RN 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144	Liane Mae Bacon, BSN, RN 1000 E Mountain Dr, Wilkes Barre, PA 18711-0001 Ph: (570) 808-7300

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Wilkes Barre, PA

Dr. Caroline L Raskiewicz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-552-3689 Fax: 570-552-3697
Kelsey L Mihal, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111
Nicholas Morreale, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7300
Ryan Williams, RN BSN MSN CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 E Mountain Blvd, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855
Wendy Kane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7850 Fax: 570-808-7855
Lisa Hayes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111 Fax: 570-208-5548
Vincent Cleveland David, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 575 N River St, Wilkes Barre, PA 18764 Phone: 570-829-8111

Liane Mae Bacon, BSN, RN - Medicare Nurse Anesthetist, Certified Registered in Wilkes Barre, PA