Shelley Mae Bacon, NP - Medicare Nurse Practitioner in Amherst, NY

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Shelley Mae Bacon, NP is a medicare enrolled "Nurse Practitioner - Family" in Amherst, New York. Her current practice location is 4979 Harlem Rd, Amherst, New York. You can reach out to her office (for appointments etc.) via phone at (716) 923-4380.

Shelley Mae Bacon is licensed to practice in New York (license number 342993) 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 1669966065.

Contact Information

Shelley Mae Bacon, NP
4979 Harlem Rd,
Amherst, NY 14226-2547
(716) 923-4380
(716) 923-4384

Map and Direction




Provider's Profile

Full NameShelley Mae Bacon
GenderFemale
SpecialityNurse Practitioner - Family
Location4979 Harlem Rd, Amherst, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669966065
  • Provider Enumeration Date: 06/19/2018
  • Last Update Date: 06/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6800146820
  • Enrollment ID: I20180912000722

Medical Identifiers

Medical identifiers for Shelley Mae Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669966065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 342993 (New York)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. Shelley Mae Bacon allows following entities to bill medicare on her behalf.
Entity NameWny Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154421246
PECOS PAC ID: 9335191733
Enrollment ID: O20050214000821
Entity NameBrookview Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871965855
PECOS PAC ID: 9537420450
Enrollment ID: O20180309000532

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. Shelley 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 AddressPractice Location Address
Shelley Mae Bacon, NP
4979 Harlem Rd,
Amherst, NY 14226-2547

Ph: (716) 923-4380		Shelley Mae Bacon, NP
4979 Harlem Rd,
Amherst, NY 14226-2547

Ph: (716) 923-4380

Reviews and Comments


Nurse Practitioner Nurses in Amherst, NY

Taylor Plowe, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4574 Main St, Amherst, NY 14226
Phone: 716-633-4575    
Joyce Marie O'riley, FNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 3610 Main St, Amherst, NY 14226
Phone: 716-200-4122    Fax: 716-783-8825
Nancy Kawecki,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4979 Harlem Rd, Amherst, NY 14226
Phone: 716-923-4381    Fax: 716-923-4384
Mrs. Grace Theresa Nesper, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3980 Sheridan Dr, 6th Floor, Amherst, NY 14226
Phone: 716-250-2000    
Clarice M Hart, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4979 Harlem Rd, Amherst, NY 14226
Phone: 716-923-4380    Fax: 716-923-4384
Ms. Kelly Michelle Ossman, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3980 Sheridan Dr, Amherst, NY 14226
Phone: 716-250-2000    
Sarah Weber, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3980 Sheridan Dr, Amherst, NY 14226
Phone: 716-541-0224    

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.