Nickolas Bacon, MD - Medicare Internal Medicine in Festus, MO

  1. Home
  2. Internal Medicine
  3. MO
  4. Festus
Nickolas Bacon, MD is a medicare enrolled "Internal Medicine" physician in Festus, Missouri. His current practice location is 1400 Us Highway 61, Festus, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 933-5337.

Nickolas Bacon is licensed to practice in Missouri (license number 2024001495) 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 1972172666.

Contact Information

Nickolas Bacon, MD
1400 Us Highway 61,
Festus, MO 63028-4100
(636) 933-5337
Not Available

Map and Direction




Physician's Profile

Full NameNickolas Bacon
GenderMale
SpecialityInternal Medicine
Location1400 Us Highway 61, Festus, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972172666
  • Provider Enumeration Date: 06/17/2021
  • Last Update Date: 08/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214331453
  • Enrollment ID: I20240813002661

Medical Identifiers

Medical identifiers for Nickolas Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972172666NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2024001495 (Missouri)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. Nickolas Bacon allows following entities to bill medicare on his behalf.
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851431738
PECOS PAC ID: 1658276811
Enrollment ID: O20031218000107
Entity NameMercy Clinic Adult Hospitalists - St. Louis, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841235108
PECOS PAC ID: 6002809944
Enrollment ID: O20040406001004
Entity NameMercy Clinic Adult Hospitalists - Washington, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891943429
PECOS PAC ID: 3577630540
Enrollment ID: O20080917000782
Entity NameSt Anthonys Physician Organization Hospitalist Services Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407216336
PECOS PAC ID: 5092980656
Enrollment ID: O20111208000771
Entity NameMercy Clinic Adult Hospitalists Jefferson Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083052492
PECOS PAC ID: 8628205598
Enrollment ID: O20131220001798

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. Nickolas 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
Nickolas Bacon, MD
1400 Us Highway 61 Ste H1521,
Festus, MO 63028-4100

Ph: (636) 933-5337		Nickolas Bacon, MD
1400 Us Highway 61,
Festus, MO 63028-4100

Ph: (636) 933-5337

Reviews and Comments


Internal Medicine Doctors in Festus, MO

Holly Ackermann, FNP
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1153 E Gannon Dr, Festus, MO 63028
Phone: 636-282-0380    Fax: 636-282-0384
Dr. Sridevi Durga, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1390 Us Highway 61 Ste N1500, Festus, MO 63028
Phone: 636-933-5055    Fax: 636-933-3609
Karthik Iyer, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Us Highway 61, Festus, MO 63028
Phone: 636-933-5337    
Joanne M Waltman, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Calvary Church Rd, Festus, MO 63028
Phone: 636-933-2900    Fax: 636-933-8017
Swetha Edla, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Us Highway 61, Festus, MO 63028
Phone: 636-933-5337    
Dr. Manzoor Ahmad Tariq, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1071 Airport Road, Festus, MO 63028
Phone: 636-931-7111    Fax: 636-937-7486
Amit J Shah, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Calvary Church Rd, Festus, MO 63028
Phone: 636-933-2900    

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.