Stacey E Bacon, NP-C | |
1701 S Broadway St, Pittsburg, KS 66762-5856 | |
(620) 235-4452 | |
Not Available |
Full Name | Stacey E Bacon |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1701 S Broadway St, Pittsburg, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003066085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2004015211 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 75561 (Kansas) | Primary |
Entity Name | County Of Crawford |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215900899 PECOS PAC ID: 3173427747 Enrollment ID: O20031125000259 |
Mailing Address | Practice Location Address |
---|---|
Stacey E Bacon, NP-C 1701 S Broadway St, Pittsburg, KS 66762-5856 Ph: (620) 235-4452 | Stacey E Bacon, NP-C 1701 S Broadway St, Pittsburg, KS 66762-5856 Ph: (620) 235-4452 |
Tracy M Orellana, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-240-5600 | |
Judith A Coltharp, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-231-6100 Fax: 620-235-7913 | |
Ciri D Corbin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 | |
Sarah Diane Stinebaugh, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1702 S Olive St, Pittsburg, KS 66762 Phone: 620-704-7789 | |
Miss Sheina Michelle Huffman, ARNP-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3011 N Michigan St, Pittsburg, KS 66762 Phone: 620-231-9873 Fax: 620-231-5062 | |
Peter Bates, APRN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mt Carmel Way, Pittsburg, KS 66762 Phone: 620-231-6100 |