Mrs Tiffani S Bacon, PT, DPT in San Diego, CA - Medicare Physical Therapist Provider

Mrs Tiffani S Bacon, PT, DPT is a medicare enrolled "Physical Therapist" provider in San Diego, California. Her current practice location is 5930 Cornerstone Ct W Ste 300, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (866) 687-7390.

Mrs Tiffani S Bacon is licensed to practice in Maryland (license number CP039211T-MD) 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 1407911381.

Contact Information

	Mrs Tiffani S Bacon, PT, DPT
	5930 Cornerstone Ct W Ste 300, San Diego, CA 92121-3772
	(866) 687-7390
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tiffani S Bacon
Gender	Female
Speciality	Physical Therapist
Location	5930 Cornerstone Ct W Ste 300, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407911381
Provider Enumeration Date: 12/22/2006
Last Update Date: 01/15/2025

Medicare PECOS Information:

PECOS PAC ID: 4880793447
Enrollment ID: I20070621000552

Medical Identifiers

Medical identifiers for Mrs Tiffani S Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407911381	NPI	-	NPPES
P00405932	Other		RAILROAD MEDICARE
TH2249	Medicaid	SC
CP039211T-MD	Other	MD	COMPACT PT LICENSURE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	10015 (South Carolina)	Secondary
2251P0200X	Physical Therapist - Pediatrics	9900 (North Carolina)	Secondary
225100000X	Physical Therapist	9900 (North Carolina)	Secondary
2251P0200X	Physical Therapist - Pediatrics	10015 (South Carolina)	Secondary
225100000X	Physical Therapist	CP039211T-MD (Maryland)	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. Mrs Tiffani S Bacon allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab North Carolina Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822

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. Mrs Tiffani S 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
Mrs Tiffani S Bacon, PT, DPT 5930 Cornerstone Ct W Ste 300, San Diego, CA 92121-3772 Ph: () -	Mrs Tiffani S Bacon, PT, DPT 5930 Cornerstone Ct W Ste 300, San Diego, CA 92121-3772 Ph: (866) 687-7390

Reviews and Comments

Physical Therapist in San Diego, CA

Carmen L Luk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 Phone: 760-209-4868
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Sean S Mcintire, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Eastgate Mall, #120, San Diego, CA 92121 Phone: 858-587-8669 Fax: 858-587-8675
Elena Hapke, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4094 4th Ave, San Diego, CA 92103 Phone: 619-515-2545
Jon Garrelts, Physical Therapist Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7189
Dobromira Andreeva Arsova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 445, San Diego, CA 92119 Phone: 858-848-9917 Fax: 858-987-8653

Mrs Tiffani S Bacon, PT, DPT - Medicare Physical Therapist in San Diego, CA