Mr Paul Bacon, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Emory, Texas. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Physical Therapy. His current practice location is
903 East Lennon Street, Suite 101, Emory, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 474-9436.
Mr Paul Bacon is licensed to practice in Texas (license number 1124006) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932285970.
Healthcare Provider's Profile
Full Name | Mr Paul Bacon |
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Gender | Male |
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Speciality | Physical Therapy |
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Experience | 26 Years |
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Location | 903 East Lennon Street, Emory, Texas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Paul Bacon graduated from medical school in 1998
NPI Data:
- NPI Number: 1932285970
- Provider Enumeration Date: 10/31/2006
- Last Update Date: 07/08/2014
Medicare PECOS Information:
- PECOS PAC ID: 7214033026
- Enrollment ID: I20070510000277
Medical Identifiers
Medical identifiers for Mr Paul Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932285970 | NPI | - | NPPES |
1124006 | Other | TX | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1124006 (Texas) | 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. Mr Paul Bacon allows following entities to bill medicare on his behalf.
Provider Name | Lake Fork Physical Therapy, Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1154540540 PECOS PAC ID: 6406952217 Enrollment ID: O20070510000267 |
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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. Mr Paul 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 |
Mr Paul Bacon, PHYSICAL THERAPIST 903 East Lennon Street, Suite 101, Emory, TX 75440 Ph: (903) 474-9436 | Mr Paul Bacon, PHYSICAL THERAPIST 903 East Lennon Street, Suite 101, Emory, TX 75440 Ph: (903) 474-9436 |
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