Odessa Ann Bacon, ARNP, PMHNP-BC in Lakewood, WA

Odessa Ann Bacon, ARNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lakewood, Washington. Her current practice location is 9330 59th Ave Sw, Lakewood, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 936-5937.

Odessa Ann Bacon is licensed to practice in Washington (license number AP61005962) 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 1801077169.

Contact Information

	Odessa Ann Bacon, ARNP, PMHNP-BC
	9330 59th Ave Sw, Lakewood, WA 98499-2858
	(253) 936-5937
	Not Available

Map and Direction

Provider's Profile

Full Name	Odessa Ann Bacon
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9330 59th Ave Sw, Lakewood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801077169
Provider Enumeration Date: 11/15/2007
Last Update Date: 11/04/2019

Medicare PECOS Information:

PECOS PAC ID: 4688008519
Enrollment ID: I20191230001940

Medical Identifiers

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

Identifier	Type	State	Issuer
1801077169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN00175337 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61005962 (Washington)	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. Odessa Ann Bacon allows following entities to bill medicare on her behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	Greater Lakes Mental Health Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225039811 PECOS PAC ID: 7315836350 Enrollment ID: O20040315001162

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. Odessa Ann 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
Odessa Ann Bacon, ARNP, PMHNP-BC 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 936-5937	Odessa Ann Bacon, ARNP, PMHNP-BC 9330 59th Ave Sw, Lakewood, WA 98499-2858 Ph: (253) 936-5937

Reviews and Comments

Nurse Practitioner Nurses in Lakewood, WA

Erin Alane Jacobson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6212 75th St W, Lakewood, WA 98499 Phone: 253-983-8507 Fax: 253-983-8576
Scott Jeffrey Clemons, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9537 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-984-2000 Fax: 253-984-2049
Michael C Charles, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5700 100th St Sw, Lakewood, WA 98499 Phone: 253-584-2119
Se Hee Min, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499 Phone: 253-581-6106
Asurupi Gurung, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-581-7020 Fax: 253-620-5149
Jennifer L Worsley, ARNP FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9537 Gravelly Lake Dr Sw Ste E10, Lakewood, WA 98499 Phone: 253-984-2000 Fax: 253-426-6344
Sandra Dawson Canaday, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4909 108th St Sw, Lakewood, WA 98499 Phone: 253-581-3075 Fax: 253-581-3178

Odessa Ann Bacon, ARNP, PMHNP-BC - Medicare Nurse Practitioner in Lakewood, WA