Candice Elaine Bacon, CRNA in Louisville, KY - Medicare Certified Registered Nurse Anesthetist (crna)

Candice Elaine Bacon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Louisville, Kentucky. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Capital Anesthesia Solutions Of Kentucky Llc and her current practice location is 200 E Chestnut St, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 629-8000.

Candice Elaine Bacon is licensed to practice in Kentucky (license number 3014174) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1417599200.

Contact Information

	Candice Elaine Bacon, CRNA
	200 E Chestnut St, Louisville, KY 40202-1800
	(502) 629-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Candice Elaine Bacon
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	6 Years
Location	200 E Chestnut St, Louisville, Kentucky
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Candice Elaine Bacon graduated from nursing school in 2019

NPI Data:

NPI Number: 1417599200
Provider Enumeration Date: 10/13/2019
Last Update Date: 08/21/2025

Medicare PECOS Information:

PECOS PAC ID: 8123454105
Enrollment ID: I20200211001707

Medical Identifiers

Medical identifiers for Candice Elaine Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417599200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	203898 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	3014174 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Cumberland Regional Hospital	Somerset, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Capital Anesthesia Solutions Of Kentucky Llc	0446681548	26

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. Candice Elaine Bacon allows following entities to bill medicare on her behalf.

Entity Name	Professional Anesthesia Services Of Kentucky Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992212807 PECOS PAC ID: 0244590305 Enrollment ID: O20180209000936

Entity Name	Capital Anesthesia Solutions Of Kentucky Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023665882 PECOS PAC ID: 0446681548 Enrollment ID: O20200505001112

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. Candice Elaine 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 Address	Practice Location Address
Candice Elaine Bacon, CRNA 1404b Lischey Ave, Nashville, TN 37207-5103 Ph: (769) 218-7115	Candice Elaine Bacon, CRNA 200 E Chestnut St, Louisville, KY 40202-1800 Ph: (502) 629-8000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Louisville, KY

Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056

Candice Elaine Bacon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Louisville, KY