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Kelly Bacon

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NPI Number Detailed Information

Provider Information:

Name: Kelly Bacon
Gender: M
Provider License Number If Given: R0071221

NPI Information:

NPI: 1700844313
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/3/2006

Last Update Date: 10/26/2021

Provider Business Mailing Address:

Address: PO BOX 1547
Sedalia, MO 65302
Phone Number: 6608265960
Fax Number:

Provider Business Practice Location Address:

Address: 1301 E LINCOLN RD
Idabel, OK 74745
Phone Number: 5802867623
Fax Number:

Provider Taxonomy:

Primary: 367H00000X
Secondary (if any): 367500000X
State: OK

Top Doctors in OK

 

About Kelly Bacon

Kelly Bacon ( KELLY BACON ) is An Anesthesiologist Assistant Physician in Idabel, OK. The NPI Number for Kelly Bacon is 1700844313.
The current location address for Kelly Bacon is 1301 E LINCOLN RD Idabel, OK 74745 and the contact number is 6608265960 and fax number is . The mailing address for Kelly Bacon is PO BOX 1547 Sedalia, MO 65302- 5802867623 (mailing address contact number - 6608265960).
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Provider Business Location on Map

FAQs:

What is the NPI Number for Kelly Bacon ?


Answer: The NPI Number for Kelly Bacon is 1700844313

Where is Kelly Bacon located?


Answer: Kelly Bacon is located at 1301 E LINCOLN RD Idabel, OK 74745.

What is the specialty for Kelly Bacon ?


Answer: The Specialty of Kelly Bacon is An Anesthesiologist Assistant Physician.

Are there any online reviews for Kelly Bacon ?


Answer: Not yet!

Are there any other health care providers in Idabel, OK?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Kelly Bacon

Number of HCPCS 13
Number of Medicare Beneficiaries 27
Number of Services 27
Total Submitted Charge Amount 17255
Total Medicare Allowed Amount 3835.93
Total Medicare Payment Amount 3126.99
Total Medicare Standardized Payment Amount 3166.93
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 13
Number of Medicare Beneficiaries With Medical 27
Number of Medical Services 27
Total Medical Submitted Charge Amount 17255
Total Medical Medicare Allowed Amount 3835.93
Total Medical Medicare Payment Amount 3126.99
Total Medical Medicare Standardized Payment Amount 3166.93
Average Age of Beneficiaries 69
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 14
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84 0
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White Beneficiaries 13
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0.41
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.59
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.67
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 1.0823

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Christopher Skelton
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NPI Number: 1619925013
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Dr. Eric L Ensley
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Echelon Medical Llc
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Address: 1430 LINCOLN RD Idabel, OK 74745 , Phone: 5802869700
Jose J Gomez
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NPI Number: 1427083351
Address: 601 SE WASHINGTON ST Idabel, OK 74745 , Phone: 5802866688
Dr. William Alexander Reid
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NPI Number: 1912922279
Address: 1301 LINCOLN RD Idabel, OK 74745 , Phone: 5802083121
Mr. Ardeshir Faghih Nia
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NPI Number: 1902822802
Address: 1211 E LINCOLN RD Idabel, OK 74745 , Phone: 5802864300
Wal-Mart Stores East Lp
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Address: 1907 E WASHINGTON ST Idabel, OK 74745 , Phone: 5802863323
Complete Care Medical, Inc.
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Address: 110 SE WASHINGTON ST Idabel, OK 74745 , Phone: 5802865044
Kiamichi Family Medical Center Inc.
Federally Qualified Health Center (FQHC)
NPI Number: 1184633786
Address: 601 SE WASHINGTON ST Idabel, OK 74745 , Phone: 5802866688
Gordon Butzirus
Physician Assistant
NPI Number: 1366451890
Address: 601 SE WASHINGTON ST Idabel, OK 74745 , Phone: 5802866688
Marva A Heinemann
Marriage & Family Therapist
NPI Number: 1225047491
Address: RR 5 BOX 170 Idabel, OK 74745 , Phone: 5802865050
Idabel Chiropractic Clinic Pllc
Chiropractor
NPI Number: 1609888775
Address: 1420 SE WASHINGTON ST Idabel, OK 74745 , Phone: 5802866546
Jane M Harmon
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NPI Number: 1013020643
Address: 108 S CENTRAL AVE STE 2 Idabel, OK 74745 , Phone: 5802369886
Ralls Enterprises Inc
Community/Retail Pharmacy
NPI Number: 1588779136
Address: 1200 SE LINCOLN RD Idabel, OK 74745 , Phone: 5802862190
Marc Patrick Enterprises Pc
Dentist
NPI Number: 1407964059
Address: 1210 E WASHINGTON Idabel, OK 74745 , Phone: 5802864444
Ms. Kelli Marie Shelton
Registered Dietitian
NPI Number: 1558462341
Address: 902 E LINCOLN RD Idabel, OK 74745 , Phone: 5802862600
The Mental Health Center, Inc
Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Number: 1821189671
Address: 17 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802865184
Toni L Wray
Professional Counselor
NPI Number: 1205927944
Address: 17 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802865184
Lorinda Gayle Morris
Specialist
NPI Number: 1508957275
Address: 17 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802865184
Jennifer Rebecca Newman
Specialist
NPI Number: 1891886255
Address: 17 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802865184
Cynthia Dianne Mccreary-Mayes
Mental Health Counselor
NPI Number: 1922199397
Address: 17 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802865184
Gina Lynn Whisenhunt
Mental Health Counselor
NPI Number: 1386736197
Address: 17 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802865184
City Drug Of Idabel Inc
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NPI Number: 1093808438
Address: 12 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802863235
Rick Casey
Obstetrics & Gynecology Physician
NPI Number: 1336234202
Address: 1425 E LINCOLN RD STE B4 Idabel, OK 74745 , Phone: 5802864900
Raney Drug Pllc
Durable Medical Equipment & Medical Supplies
NPI Number: 1841388634
Address: 1106 SE WASHINGTON ST Idabel, OK 74745 , Phone: 5802082400
Dr. Darin Michael Shupert
Optometrist
NPI Number: 1740378710
Address: 124 SE AVE N Idabel, OK 74745 , Phone: 5802862020
Dr. Bradley Hulen Raney
Pharmacist
NPI Number: 1639269509
Address: 1106 SE WASHINGTON ST Idabel, OK 74745 , Phone: 5802082400
Quick Med
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Address: 1401 S. LYNN LANE Idabel, OK 74745 , Phone: 5802863278
Dr. Scott Martin Grigory
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Address: 1 W MAIN ST SUITE 100 Idabel, OK 74745 , Phone: 5805793385
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Address: 4 E MAIN ST Idabel, OK 74745 , Phone: 5802863474
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NPI Number: 1114006723
Address: 1302 S LYNN LN Idabel, OK 74745 , Phone: 5802863993
Joseph A Kennedy
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NPI Number: 1013087063
Address: 902 E LINCOLN RD Idabel, OK 74745 , Phone: 5802862600
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NPI Number: 1104991967
Address: 1315 S LYNN LN Idabel, OK 74745 , Phone: 9185618306
Mr. Michael Curtis West JR.
Family Medicine Physician
NPI Number: 1649346545
Address: 403 S INDIAN RD Idabel, OK 74745 , Phone: 5802866688
George Edward Freeman, D.O.,P.C.
Internal Medicine Physician
NPI Number: 1124194568
Address: 1425 E LINCOLN RD SUITE B-1 Idabel, OK 74745 , Phone: 5802864949
Sequelcare Of Oklahoma, Llc
Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Number: 1740344290
Address: 411 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802865721
Sequelcare Of Oklahoma, Llc
Case Management Agency
NPI Number: 1558425843
Address: 411 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802865045
Sequelcare Of Oklahoma, Llc
Case Management Agency
NPI Number: 1891859963
Address: 411 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802861092
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NPI Number: 1083778153
Address: 411 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802865045
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Address: 17 S CENTRAL AVE Idabel, OK 74745 , Phone: 5802865184
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NPI Number: 1790833564
Address: 902 E LINCOLN RD Idabel, OK 74745 , Phone: 9185677096
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Address: 1315 LYNN LN Idabel, OK 74745 , Phone: 5802863328
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