Mrs Mary Margarita Bacon, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Pembroke, New Hampshire. She graduated from nursing school in 1997 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pembroke Wellness Center Pllc and her current practice location is
48 Glass St, Pembroke, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 485-7788.
Mrs Mary Margarita Bacon is licensed to practice in New Hampshire (license number 038972-23-03) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245399930.
Provider's Profile
| Full Name | Mrs Mary Margarita Bacon |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 29 Years |
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| Location | 48 Glass St, Pembroke, New Hampshire |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Mary Margarita Bacon graduated from nursing school in 1997
NPI Data:
- NPI Number: 1245399930
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 10/30/2007
Medicare PECOS Information:
- PECOS PAC ID: 8921044520
- Enrollment ID: I20050706000065
Medical Identifiers
Medical identifiers for Mrs Mary Margarita Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245399930 | NPI | - | NPPES |
| 30341583 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 038972-23-03 (New Hampshire) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pembroke Wellness Center Pllc | 6901162841 | 2 |
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. Mrs Mary Margarita Bacon allows following entities to bill medicare on her behalf.
| Entity Name | Pembroke Wellness Center Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396276655
PECOS PAC ID: 6901162841
Enrollment ID: O20171109002891 |
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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. Mrs Mary Margarita 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 |
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Mrs Mary Margarita Bacon, ARNP
62 Island Dr,
Merrimack, NH 03054-4123
Ph: (603) 206-4390 | Mrs Mary Margarita Bacon, ARNP
48 Glass St,
Pembroke, NH 03275-1506
Ph: (603) 485-7788 |
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