Odessa Ann Bacon, ARNP, PMHNP-BC - Medicare Nurse Practitioner in Lakewood, WA

  1. Home
  2. Nurse Practitioner
  3. WA
  4. Lakewood
Odessa Ann Bacon, ARNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lakewood, Washington. Her current practice location is 9330 59th Ave Sw, Lakewood, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 936-5937.

Odessa Ann Bacon is licensed to practice in Washington (license number AP61005962) 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 1801077169.

Contact Information

Odessa Ann Bacon, ARNP, PMHNP-BC
9330 59th Ave Sw,
Lakewood, WA 98499-2858
(253) 936-5937
Not Available

Map and Direction




Provider's Profile

Full NameOdessa Ann Bacon
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location9330 59th Ave Sw, Lakewood, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801077169
  • Provider Enumeration Date: 11/15/2007
  • Last Update Date: 11/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4688008519
  • Enrollment ID: I20191230001940

Medical Identifiers

Medical identifiers for Odessa Ann Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801077169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN00175337 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61005962 (Washington)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. Odessa Ann Bacon allows following entities to bill medicare on her behalf.
Entity NameMulticare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760
Entity NameGreater Lakes Mental Health Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225039811
PECOS PAC ID: 7315836350
Enrollment ID: O20040315001162
Entity NameWashington Pac Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336678168
PECOS PAC ID: 4082986070
Enrollment ID: O20170825002664
Entity NameWa Pacs 2 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144706532
PECOS PAC ID: 6901156538
Enrollment ID: O20180831002235

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. Odessa Ann 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
Odessa Ann Bacon, ARNP, PMHNP-BC
9330 59th Ave Sw,
Lakewood, WA 98499-2858

Ph: (253) 936-5937		Odessa Ann Bacon, ARNP, PMHNP-BC
9330 59th Ave Sw,
Lakewood, WA 98499-2858

Ph: (253) 936-5937

Reviews and Comments


Nurse Practitioner Nurses in Lakewood, WA

Erin Alane Jacobson, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6212 75th St W, Lakewood, WA 98499
Phone: 253-983-8507    Fax: 253-983-8576
Scott Jeffrey Clemons, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9537 Gravelly Lake Dr Sw, Lakewood, WA 98499
Phone: 253-984-2000    Fax: 253-984-2049
Michael C Charles, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5700 100th St Sw, Lakewood, WA 98499
Phone: 253-584-2119    
Se Hee Min,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9116 Gravelly Lake Dr Sw Ste 107, Lakewood, WA 98499
Phone: 253-581-6106    
Asurupi Gurung, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499
Phone: 253-581-7020    Fax: 253-620-5149
Jennifer L Worsley, ARNP FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9537 Gravelly Lake Dr Sw Ste E10, Lakewood, WA 98499
Phone: 253-984-2000    Fax: 253-426-6344
Sandra Dawson Canaday, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4909 108th St Sw, Lakewood, WA 98499
Phone: 253-581-3075    Fax: 253-581-3178

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.