Kelly Bacon, - Medicare Certified Registered Nurse Anesthetist (crna) in Idabel, OK

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Kelly Bacon, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Idabel, Oklahoma. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sc Anesthesia Llc and his current practice location is 1301 E Lincoln Rd, Idabel, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 286-7623.

Kelly Bacon is licensed to practice in Oklahoma (license number R0071221) 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 1700844313.

Contact Information

Kelly Bacon,
1301 E Lincoln Rd,
Idabel, OK 74745-7300
(580) 286-7623
Not Available

Map and Direction




Provider's Profile

Full NameKelly Bacon
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience21 Years
Location1301 E Lincoln Rd, Idabel, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Bacon graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1700844313
  • Provider Enumeration Date: 05/03/2006
  • Last Update Date: 10/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103710470
  • Enrollment ID: I20211101001542

Medical Identifiers

Medical identifiers for Kelly Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700844313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant R0071221 (Oklahoma)Secondary
367500000XNurse Anesthetist, Certified Registered R0071221 (Oklahoma)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sc Anesthesia Llc70123824683

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. Kelly Bacon allows following entities to bill medicare on his behalf.
Entity NameSt. Anthony Shawnee Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619260411
PECOS PAC ID: 1052567328
Enrollment ID: O20121015000218
Entity NameJeff Hopkins Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639529043
PECOS PAC ID: 2769776541
Enrollment ID: O20160803000086
Entity NameMidwest Ok Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992230031
PECOS PAC ID: 3072880780
Enrollment ID: O20170601000583
Entity NameSc Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962106013
PECOS PAC ID: 7012382468
Enrollment ID: O20230818001535

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. Kelly 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
Kelly Bacon,
Po Box 1547,
Sedalia, MO 65302-1547

Ph: (660) 826-5960		Kelly Bacon,
1301 E Lincoln Rd,
Idabel, OK 74745-7300

Ph: (580) 286-7623

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Idabel, OK


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.