Justin Bacon (NPI# 1205221926, PAC ID# 0840597589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1205221926 |
| PAC ID by PECOS | 0840597589 |
| Professional Enrollment ID | I20190417001807 |
| Full Name | Justin Bacon |
| Organization Legal Name | HOKE EMERGENCY GROUP, PC |
| Address |
210 Medical Pavilion Dr Raeford NC 28376-9111 |
| Phone Number | 9109048000 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7214200146 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340188 | CAPE FEAR VALLEY HOKE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 9109048000 | HOKE EMERGENCY GROUP, PC |
| Organization Legal Name | HOKE EMERGENCY GROUP, PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Anthony Fiebig | Nurse Practitioner | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Shari A Del Do | Emergency Medicine | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Tonya F Pruitt | Nurse Practitioner | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Mildreth A Sisco | Nurse Practitioner | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Amy Jo Henkel | Nurse Practitioner | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| John J Reed Jr. | Emergency Medicine | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Street Address |
210 MEDICAL PAVILION DR |
| City | RAEFORD |
| State | NC |
| Zip | 28376-9111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajiv A Patel | Internal Medicine | Cumberland County Hospital System Inc | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Kimberly S Wiest | Certified Registered Nurse Anesthetist (crna) | Cumberland County Hospital System Inc | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| William Anthony Fiebig | Nurse Practitioner | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Shari A Del Do | Emergency Medicine | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Tonya F Pruitt | Nurse Practitioner | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Eugene Bowa Sangmuah | Internal Medicine | Cumberland County Hospital System Inc | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Deanna L Phelps | Certified Registered Nurse Anesthetist (crna) | Cumberland County Hospital System Inc | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Claudia Viola Claiborne | Hospitalist | Cumberland County Hospital System Inc | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Mildreth A Sisco | Nurse Practitioner | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Amy Jo Henkel | Nurse Practitioner | Hoke Emergency Group, PC | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Smith | Family Medicine | 929 W Prospect Ave, Raeford, NC 28376 | |
| David A Schutzer | Obstetrics/gynecology | Hoke Healthcare LLC | 300 Medical Pavilion Dr, Suite 250, Raeford, NC 28376-0018 |
| Dorrette P Grant | Obstetrics/gynecology | Hoke Healthcare LLC | 300 Medical Pavilion Dr, Suite 250, Raeford, NC 28376-0018 |
| Paul B Sparzak | Obstetrics/gynecology | Hoke Healthcare LLC | 300 Medical Pavilion Dr, Suite 250, Raeford, NC 28376-0018 |
| Bret Allen Guidry | Obstetrics/gynecology | Hoke Healthcare LLC | 300 Medical Pavilion Dr, Suite 250, Raeford, NC 28376-0018 |
| Kelsey Kurtz Smith | Certified Nurse Midwife (cnm) | Hoke Healthcare LLC | 300 Medical Pavilion Dr, Suite 250, Raeford, NC 28376-0018 |
| Diana Deviney | Certified Nurse Midwife | Hoke Healthcare LLC | 300 Medical Pavilion Dr, Raeford, NC 28376-0018 |
| Deborah B Morgan | Certified Nurse Midwife | Hoke Healthcare LLC | 300 Medical Pavilion Dr, Raeford, NC 28376-0018 |
| Hope J Beatty | Certified Nurse Midwife | Hoke Healthcare LLC | 300 Medical Pavilion Dr, Suite 250, Raeford, NC 28376-0018 |
| Donna Ajo | Physician Assistant | Hoke Healthcare LLC | 300 Medical Pavilion Dr, Suite 150, Raeford, NC 28376-0030 |
| Find all physicians in zip 28376 | |||
| City | RAEFORD |
| Zip Code | 28376 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | RAEFORD + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Justin Bacon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.