Donna L Bacon (NPI# 1215934476, PAC ID# 1557413937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215934476 |
| PAC ID by PECOS | 1557413937 |
| Professional Enrollment ID | I20090715000650 |
| Full Name | Donna L Bacon |
| Address |
7227 N Us Hwy 1 Port St John FL 32927-5004 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100028 | PARRISH MEDICAL CENTER |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| 100177 | CAPE CANAVERAL HOSPITAL |
| 100315 | VIERA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7227 N Us Hwy 1, Port St John, FL 32927-5004 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 78% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 2% |
| Street Address |
7227 N US HWY 1 |
| City | PORT ST JOHN |
| State | FL |
| Zip | 32927-5004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mourad Abouelleil | Urology | Steward Medical Group Inc | 7227 N Us Hwy 1, Suite 220, Cocoa, FL 32927-5034 |
| Katherine Penny Leonard | Nurse Practitioner | Health First Medical Group, LLC | 7227 N Us Hwy 1, Suite 100, Port St John, FL 32927-5034 |
| Randal Davis | Family Medicine | Health First Medical Group, LLC | 7227 N Us Hwy 1, Suite 100, Port St John, FL 32927-5034 |
| Faye E O Rourke | Nurse Practitioner | Health First Medical Group, LLC | 7227 N Us Hwy 1, Suite 100, Port St John, FL 32927-5034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy A Mayor Davies | Emergency Medicine | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| John G Olinde | General Surgery | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Erin T Mariano | Orthopedic Surgery | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Susan Marie Glatter | Nurse Practitioner | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Elaine M Kondroski | Diagnostic Radiology | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Kevin L Goodhue | Optometry | 3720 Curtis Blvd, Port St John, FL 32927-3961 | |
| Janis Black | Family Medicine | 3740 Curtis Blvd, Suite 108, Cocoa, FL 32927-3962 | |
| Rachel M Loeffler | Nurse Practitioner | North Brevard Medical Support Inc | 5005 Port St John Pkwy, Suite 2400, Port St John, FL 32927-4305 |
| Richard M Bost | Emergency Medicine | Medfast Urgent Care Centers LLC | 5005 Port St John Pkwy, Port St John, FL 32927-4305 |
| Sharon S Shelton | Family Medicine | North Brevard Medical Support Inc | 5005 Port St John Pkwy, Suite 2500, Port St John, FL 32927-4305 |
| Find all physicians in zip 32927 | |||
| City | PORT ST JOHN |
| Zip Code | 32927 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORT ST JOHN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Donna L 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.