Michael L Bacon, MD - Medicare Emergency Medicine in Kingsport, TN

Michael L Bacon, MD is a medicare enrolled "Emergency Medicine" physician in Kingsport, Tennessee. His current practice location is 130 West Ravine Road, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-4000.

Michael L Bacon is licensed to practice in Tennessee (license number 23688) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780628891.

Contact Information

Michael L Bacon, MD
130 West Ravine Road,
Kingsport, TN 37662
(423) 224-4000
(423) 224-5120

Map and Direction




Physician's Profile

Full NameMichael L Bacon
GenderMale
SpecialityEmergency Medicine
Location130 West Ravine Road, Kingsport, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780628891
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 09/26/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6305919523
  • Enrollment ID: I20110907001156

Medical Identifiers

Medical identifiers for Michael L Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780628891NPI-NPPES
3072071MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 23688 (Tennessee)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. Michael L Bacon allows following entities to bill medicare on his behalf.
Entity NameApp Of Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20180814002326

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. Michael L 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
Michael L Bacon, MD
Po Box 11724,
Knoxville, TN 37939-1724

Ph: (865) 766-8800
Michael L Bacon, MD
130 West Ravine Road,
Kingsport, TN 37662

Ph: (423) 224-4000

Reviews and Comments


Emergency Medicine Doctors in Kingsport, TN

Dr. James Henry Burleson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2000 Brookside Dr, Indian Path Hospital, Kingsport, TN 37660
Phone: 423-857-7870    Fax: 423-857-7872
William D Hudson, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 130 W Ravine Rd, Kingsport, TN 37662
Phone: 423-224-4000    
Mrs. Susan Watts Jeansonne, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2002 Brookside Dr, Suite 200, Kingsport, TN 37660
Phone: 423-224-3933    Fax: 423-224-3934
Dr. Jeffrey Stayer, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-239-9737    
Dr. Renee May Sayson Miranda, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 E Ravine Rd, Kingsport, TN 37660
Phone: 423-245-9600    Fax: 423-245-9634
William E Devens Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 130 W Ravine Rd, Kingsport, TN 37662
Phone: 423-224-4000    
Dr. Tunga Trishul Reddy, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 415 Broad St, Suite 410, Kingsport, TN 37660
Phone: 423-747-1240    

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.