| Drs. Bacon & Hooper, Inc. | |
|
1045 Beecher Crossing North Suite B Gahanna OH 43230 | |
| (614) 855-4746 | |
| (614) 855-4846 |
| Full Name | Drs. Bacon & Hooper, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1045 Beecher Crossing North, Gahanna, Ohio |
| Authorized Official Name and Position | Judy Marlene Dernberger (OFFICE MANAGER) |
| Authorized Official Contact | 6148554746 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Bacon & Hooper, Inc. 1045 Beecher Crossing North Suite B Gahanna OH 43230 Ph: (614) 855-4746 | Drs. Bacon & Hooper, Inc. 1045 Beecher Crossing North Suite B Gahanna OH 43230 Ph: (614) 855-4746 |
| NPI Number | 1043325855 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 01/12/2011 |
| Medicare PECOS PAC ID | 3375430440 |
|---|---|
| Medicare Enrollment ID | O20040303000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043325855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly C Hooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720160716 PECOS PAC ID: 3971490046 Enrollment ID: I20111229000671 |
| Provider Name | Patricia A Bacon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033291026 PECOS PAC ID: 9436046505 Enrollment ID: I20120104000521 |
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