Jaelle Tamara Bacon (NPI# 1548740533, PAC ID# 9032460589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1548740533 |
| PAC ID by PECOS | 9032460589 |
| Professional Enrollment ID | I20180921000765 |
| Full Name | Jaelle Tamara Bacon |
| Address |
989 Kenmore Ave Kenmore NY 14217-2924 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 989 Kenmore Ave, Kenmore, NY 14217-2924 |
| Street Address |
989 KENMORE AVE |
| City | KENMORE |
| State | NY |
| Zip | 14217-2924 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashvani K Gulati | Ophthalmology | 3750 Delaware Ave, Kenmore, NY 14217-1002 | |
| Elspeth S Call Lukasik | Obstetrics/gynecology | Bartels,powalski and Weissman, Mds,pc | 3834 Delaware Ave, Kenmore, NY 14217-1039 |
| George A Haddad | Internal Medicine | 3800 Delware Ave, Suite 100, Kenmore, NY 14217-1094 | |
| Alan Antfleck | Internal Medicine | 3800 Delaware Ave, Suite 102, Kenmore, NY 14217-1094 | |
| Diane J Sutter | Obstetrics/gynecology | Diane J Sutter Md Pllc | 3800 Delaware Ave, Suite 102, Kenmore, NY 14217-1094 |
| Julie A Gavin | Obstetrics/gynecology | 3800 Delaware Ave, Suite 108, Kenmore, NY 14217-1094 | |
| Robert Fugitt | Urology | Robert G Fugitt, Md and David B Lillie, Md, PC | 3800 Delaware Ave, Suite 104, Kenmore, NY 14217-1094 |
| Christopher Dressel | Chiropractic | 3679 Delaware Ave, Buffalo, NY 14217-1113 | |
| Susan Baldassari | Internal Medicine | 3673 Delaware Ave, Kenmore, NY 14217-1113 | |
| Keryn E Gauch | Physician Assistant | Daniel I Rifkin, Md, PC | 1491 Sheridan Dr, Kenmore, NY 14217-1234 |
| Find all physicians in zip 14217 | |||
| City | KENMORE |
| Zip Code | 14217 |
| Specialty | CHIROPRACTIC |
| City + Specialty | KENMORE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jaelle Tamara 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.