| Kourt Bacon, DO | |
|
1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | |
| (971) 732-3174 | |
| Not Available |
| Full Name | Kourt Bacon |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 7 Years |
| Location | 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710449012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 0102206358 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilcox Memorial Hospital | Lihue, HI | Hospital |
| Straub Clinic And Hospital | Honolulu, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kauai Medical Clinic | 5092628479 | 147 |
| Straub Clinic And Hospital | 6305759754 | 420 |
| Entity Name | Straub Clinic & Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306508 PECOS PAC ID: 6305759754 Enrollment ID: O20031111000417 |
| Entity Name | Kauai Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
| Entity Name | Island Medical Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881965986 PECOS PAC ID: 2264696681 Enrollment ID: O20120615000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Kourt Bacon, DO 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: Not Available | Kourt Bacon, DO 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: (971) 732-3174 |
Dr. Charles Dean Poppell, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Department Of Surgery/anesthesia, Tripler Army Medical Center, HI 96859 Phone: 808-433-5007 |
Dr. Kenneth Lee Gowdy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-6661 |
Zachary Cyrus Affrin, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1 Jarrett White Rd Dept Of, Tripler Army Medical Center, HI 96859 Phone: 208-333-0845 |
James Duca, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-782-8251 |
Dr. Karen Graf Galloway, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5447 |
Salvatore Carlo Falisi, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 888-683-2778 |
Michael Williams, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-4525 |