Alvin C Bacon (NPI# 1104836568, PAC ID# 6901874726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104836568 |
| PAC ID by PECOS | 6901874726 |
| Professional Enrollment ID | I20040920001031 |
| Full Name | Alvin C Bacon |
| Address |
598 Great Rd Level North Smithfield RI 02896-6810 |
| Gender | M |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410011 | LANDMARK MEDICAL CENTER |
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 598 Great Rd Level, North Smithfield, RI 02896-6810 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% |
| Street Address |
598 GREAT RD LEVEL |
| City | NORTH SMITHFIELD |
| State | RI |
| Zip | 02896-6810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Solomon | Family Medicine | 594 Great Rd, North Smithfield, RI 02896-6810 | |
| Michael R Heru | Internal Medicine | 594 Great Rd, Suite 105, North Smithfield, RI 02896-6810 | |
| Michael Arthur Luke | General Surgery | 501 Great Rd, Suite 205, North Smithfield, RI 02896-6833 | |
| Marisa K Lee | Physical Therapy | Marcotte Physical Therapy, Inc | 501 Great Rd, Suite 108, North Smithfield, RI 02896-6833 |
| Daniel R Marcotte | Physical Therapy | Marcotte Physical Therapy, Inc | 501 Great Rd, Suite 108, North Smithfield, RI 02896-6833 |
| Kimberly J Wright | Physical Therapy | Marcotte Physical Therapy, Inc | 501 Great Rd, Suite 108, North Smithfield, RI 02896-6833 |
| Katie E Evans | Physical Therapy | Marcotte Physical Therapy, Inc | 501 Great Rd, Suite 108, North Smithfield, RI 02896-6833 |
| Kaitlin Riggs | Physical Therapy | Marcotte Physical Therapy, Inc | 501 Great Rd, Suite 108, North Smithfield, RI 02896-6833 |
| Roger G Beaudet | Optometry | 501 Great Rd, Suite 107, N Smithfield, RI 02896-6833 | |
| David R Dubois | Family Medicine | Drs Dubois and Dubois Ltd | 501 Great Rd, Suite 102, North Smithfield, RI 02896-6845 |
| Find all physicians in zip 02896 | |||
| City | NORTH SMITHFIELD |
| Zip Code | 02896 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NORTH SMITHFIELD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Alvin C 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.