| Mr Mark Robert Bacon, PA-C | |
|
72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 | |
| (405) 736-4943 | |
| Not Available |
| Full Name | Mr Mark Robert Bacon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 72nd Medical Group, Tinker Afb, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972530053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1389 (Oklahoma) | Primary |
| 363AM0700X | Physician Assistant - Medical | 602 (Alaska) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Robert Bacon, PA-C 748 Milan Ct, Edmond, OK 73034-6897 Ph: (405) 330-4946 | Mr Mark Robert Bacon, PA-C 72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 Ph: (405) 736-4943 |
Michael Klose, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot Blvd, Tinker Afb, OK 73145 Phone: 405-734-2778 Fax: 405-736-3128 | |
James Neal Dillard Iii, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7050 Air Depot Blvd, Tinker Afb, OK 73145 Phone: 405-582-6252 | |
Ms. Shilana Kowack, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot Blvd, Tinker Afb, OK 73145 Phone: 405-734-2778 | |
Caitlin Elizabeth Michael, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5700 Arnold St, 72mdg/sgol, Tinker Afb, OK 73145 Phone: 405-736-2700 | |
Mr. Shaun Mark Saunders, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145 Phone: 405-734-2778 | |
Luke Andrew Russell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7050 Air Depot Blvd Bldg 1040, Tinker Afb, OK 73145 Phone: 405-734-2778 | |
Rebecca G Prim, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7050 Air Depot, Bldg 1094, Tinker Afb, OK 73145 Phone: 405-582-6610 Fax: 405-736-3619 |